Trauma: Thoracic Injuries II Flashcards
(18 cards)
S&Sx of Hemothorax includes?
Dyspnea
Tachypnea
Chest pain
Shock
Decreased breath sounds on injured side
Dullness to percussion on injured side
Hemothorax Diagnostics include?
CXR
US
CT
Hemothorax Management includes?
Chest tube (min 36 french)
Thoracotomy
Indications for Thoracotomy d/t hemothorax include?
dependent on pt physicology
1500 mLs from chest tube in any 24 hr period
How to manage retained hemothorax?
Operative evacuation (VATS)
Diaphragm rupture S/Sx’s include?
Epigastric/abd pain
Referred shoulder pain
SOB
Vomiting
Dysphagia
Shock
Diaphragm Rupture Diagnostics inlcude
CXR
CT
Laparoscopy
Diaphragm Rupture Management includes?
Surgical fixation, laparoscopic if isolated injury, open repair if associated injuries
Blunt Cardiac Injury S/Sx include?
Chest Pain
Chest wall ecchymosis
Hypotension
Tachycardia
PEA
Dyspnea
Cyanosis
Beck’s Triad
Pulsus Paradoxus
Blunt Cardiac Injury Diagnostics include?
ECG
Troponin
Cardiac monitoring
CT
ECHO
What will ECG show in blunt cardiac injury?
ST
Heart Block
ST changes
arrhythmias
ischemia
Blunt Cardiac Injury Management includes?
Cards c/s
CT surgery c/s
Pericardiocentesis for tamponade
Tele monitoring
Aortic Injury Differentials Chest Pain
Acute MI
PE
Spont PTX
Esophageal rupture
Aortic Injury Differentials Abdominal Pain
Renal/biliar colic
bowel obstruction/perforation
non-dissection-related mesenteric ischemia
Aortic Injury Differentials Back Pain
Renal colic
MSK pain
Intervertebral herniation
Aortic Injury Diagnostics
CXR
Chest CT with IV contrast
TEE
What will CXR show with aortic injury?
Wide mediastinum
Obscured aortic knob
L “apical cap”
L hemothorax
Deviation of NGT to R
Tracheal deviation to R &/or R mainstem bronchus downward
Aortic Injury Management includes?
HR&BP control
Pain control
Fluid/pressors for hypotension
CT surgery c/s
