Thoracic Trauma
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| show | 1-simple pneumothorax 2-hemothorax 3-pulmonary contusion 4-tracheobroncial tree injury 5-blunt cardiac injury 6-traumatic aortic disruption 7-traumatic diaphragmatic injury 8-blunt esophageal disruption
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| Three manifestations of chest injury | show 🗑
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| show | Blunt <10% Penetrating 15 to 30%
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| Often result from chest injury (3) | show 🗑
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| show | 1-hypovolemia 2-ventilation/perfusion mismatch 3-altered intrathoracic pressure relationship
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| show | inadequate ventilation
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| Inadequate ventilation in chest trauma results from (2) | show 🗑
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| show | shock (hypoperfusion of the tissues)
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| Most serious feature of chest trauma is | show 🗑
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| show | 1-airway control 2-chest tube 3-needle decompression
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| show | as they are identified
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| show | 1-listening for air movement at nose, mouth, lung fields 2-inspecting oropharynx for FB 3-observing for intercostal and supraclavicular muscle retractions
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| show | upper airway obstruction
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| How to identify posterior clavicular dislocation (2) | show 🗑
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| Posterior clavicular dislocation reduced by (2) | show 🗑
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| Early signs of hypoxia with thoracic trauma(2) | show 🗑
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| show | cyanosis
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| show | does not indicate adequate tissue oxygenation or adequate airway
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| Major thoracic injuries affecting airway (5) | show 🗑
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| Tension pneumothorax involves ____ ____ | show 🗑
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| Three things that happen with tension pneumothorax | show 🗑
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| Most common cause of tension pneumothorax | show 🗑
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| show | False
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| show | 1-chest pain 2-air hunger 3-respiratory distress 4-tachycardia 5-hypotension 6-tracheal deviation 7-unilateral absence of breath sounds 8-neck vein distension 9-cyanosis (late)
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| show | cardiac tamponade
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| Differentiate tension pneumothorax with cardiac tamponade | show 🗑
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| show | large bore in 2nd intercostal space in midclavicular line
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| Needle decompression converts tension pneumothorax to | show 🗑
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| Definitive treatment of tension pneumothorax | show 🗑
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| Size of open pneumothorax | show 🗑
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| Initial management of open pneumothorax | show 🗑
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| Definitive management of open pneumothorax | show 🗑
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| show | chest wall segment lacks bony continuity
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| show | multiple rib fractures
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| show | pulmonary contusion
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| In flail chest, movement of chest wall is (2) | show 🗑
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| Aids in diagnosis of flail chest (4) | show 🗑
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| Treatment of flail chest (5) | show 🗑
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| Percussion difference between tension pneumothorax and massive hemothorax | show 🗑
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| show | 1-quality 2-rate 3-regularity
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| Which pulses may be absent in hypovolemia? | show 🗑
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| Myocardial trauma may lead to | show 🗑
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| Define PEA | show 🗑
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| show | 1-cardiac tamponade 2-tension pneumothorax 3-profound hypovolemia 4-cardiac rupture
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| show | 1-massive hemothorax 2-cardiac tamponade
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| Amount of blood with massive hemothorax | show 🗑
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| show | 1-penetrating (most common) 2-blunt
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| show | 1-shock 2-absence of breath sounds 3-dullness to percussion
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| Initial management of massive hemothorax | show 🗑
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| show | autotransfusion
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| Persistent need for blood transfusion with massive hemothorax indicator for | show 🗑
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| Color of blood from massive hemothorax | show 🗑
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| show | if qualified surgeion is present
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| show | 1-penetrating (most common) 2-blunt
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| show | 1-venous pressure elevation 2-decline in arterial pressure 3-muffled heart tones
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| May mimic cardiac tamponade | show 🗑
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| Distended neck veins may be absent due to | show 🗑
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| Kussmaul's sign in cardiac tamponade | show 🗑
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| show | 1-echocardiogram 2-FAST 3-pericardial window
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| show | 90%
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| show | surgery
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| show | pericardiocentesis
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| show | remove blood from pericardial sac
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| Facilitates accurate needle placement in cardiac tamponade | show 🗑
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| show | blood in pericardial sac is clotted
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| show | 1-penetrating injury 2-PEA 3-qualified surgeon
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| Signs of life (3) | show 🗑
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| show | 1-evacuation of pericardial blood in cardiac tamponade 2-direct control of intrathoracic hemorrhage 3-open cardiac massage 4-cross clamping of aorta
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| show | rare
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| show | 1-multiple rib fractures 2-fracture of 1st or 2nd rib(s)
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| Pneumothorax results from air entering | show 🗑
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| Common cause of pneumothorax in blunt trauma | show 🗑
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| show | surface tension between pleural surfaces (viseral and parietal)
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| show | underwater seal apparatus
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| show | 1-general anesthesia 2-positive pressure ventilation 3-air ambulance
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| show | 1-lung laceration 2-intercostal vessel laceration
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| show | usually self-limiting
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| show | chest tube
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| show | 1-1500 mL blood in chest tube 2->200 mL/hr blood for 2-4 hours 3-blood transfusion required
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| show | pulmonary contusion
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| Characteristics of blunt trauma causing tracheobronchial tree injury (3) | show 🗑
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| show | 1-hemoptysis 2-subcutaneous emphysema 3-tension pneumothorax with mediastinum shift
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| How do you confirm TBT injury? | show 🗑
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| Treatment of TBT injury (2) | show 🗑
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| Blunt cardiac injury can result in (5) | show 🗑
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| show | FAST
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| Sequelae of BCI contusion (3) | show 🗑
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| ECG findings with cardiac contusion (5) | show 🗑
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| Cardiac enzymes in BCI | show 🗑
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| show | after 24 hours
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| show | 1-automobile collision 2-fall from great height
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| show | incomplete laceration of ligamentum arteriosum
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| Survivors of TAD have | show 🗑
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| show | 1-primary repair or resection of torn segment 2-replacement with interposition graft
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| show | transfer the patient
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| More common side of traumatic diaphragmatic injury (TDI)? | show 🗑
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| show | radial tears with herniation
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| TDI with penetrating trauma | show 🗑
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| show | 1-NG tube in chest 2-UGI contrast 3-peritoneal lavage fluid in chest tube
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| show | traumatic diaphragmatic injury
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| show | direct repair
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| Characteristics of esophageal trauma | show 🗑
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| Flow of blund esophageal injury | show 🗑
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| Esophageal injury to be considered when (5) | show 🗑
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| show | 1-drainage of pleural space 2-direct repair
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| Subcutaneous emphysema can result from (3) | show 🗑
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| show | 1-plethora with petechiae 2-massive swelling 3-cerebral edema
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tcrouch2000
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