Thoracic trauma

Question 1

Most common cause of death in thoracic injury is

Answer 1

hemorraghe

Question 2

Mechanisms of Injury

Answer 2

– Blunt Injury
•Deceleration
•Compression
– Penetrating Injury
– Both

Question 3

Red flag signs of chest injury

Answer 3

Hemoptysis.
Chest wall contusion.
Flail chest.
Open wounds.
 Jugular vein distention (JVD).
Subcutaneous emphysema. Tracheal deviation.
Tachypnea
Bradypnea Labored Retractions
Progressive respiratory distress

Question 4

Each time we inhale,
the lung collapses further. There is no place for the air to escape..
Clinical features: tacypnoea/dyspnoea distended neck veins hyperresonance absent breath sounds

Answer 4

Tension pneumothorax

Question 5

Treatment for pneumothorax

Answer 5

Chest tube drain – 5th intercostal space anterior or middle axilar line

Question 6

Most common in blunt injury
Intercostal vessel & internal mammary art. Clinical features:
Shock with flat neck veins Absent breath sounds dull on percussion
Mediastinal shift – respiratory distress ICD

Answer 6

hemothorax

Question 7

Segment of chest wall doesnot have continuity with the rest of thoracic cage

Answer 7

Fail chest

Question 8

Severe subcutaneous empysema with respiratory compromise

Answer 8

Tracheobronchial injury

Question 9

Most common cause for hypoxia. Hemorrhage into lung parenchyma

Answer 9

Pulmonary contusion