chapter 34
false
Crepitation with rib fractures is generally felt over the abdomen.
false. hemothorax is blood in the thoracic cavity
Air in the chest cavity is a hemothorax.
bradycardia
All of the following are signs and symptoms of major chest trauma except; hemoptysis, cyanosis, bradycardia, paradoxical movement
false
An occlusive dressing must be taped on all four sides to protect the chest wound.
lift a corner and allow pressure to escape
If a patient develops respiratory distress after an occlusive dressing has been applied to a chest wound, the EMT should
open pneumothorax (sucking chest wound)
Is a result of an open wound to the chest by a penetrating object. Air may be heard escaping or entering through the chest wound, creating a bubbling or sucking sound. Signs and Symptoms are the same as for a closed pneumothorax, with the exception of an open wound to the chest. You must immediately occlude an open wound to the chest. Initially seal it with your gloved hand and then with an occlusive dressing.
false.
Jugular venous distension is an early sign of a tension pneumothorax.
true
When a sucking chest wound is detected, immediate care is to cover it with an occlusive dressing.
tension pneumothorax
an immediately life threatening condition resulting from a pneumothorax that continues to trap air in the thoracic cavity with no relief or escape.
A screwdriver impaled in the chest should be managed by
stabilizing it with a bulky dressing
pneumothorax
the accumulation of air in the pleural cavity, causing collapse of a portion of the lung. Usually due to either blunt or penetrating trauma.
hemothorax
thoracic cavity is filled with blood rather than air.
A flail segment occurs
with a fracture of two or more ribs in two or more places
pulmonary contusion
Bleeding in the alveoli caused by a blunt force trauma which prevents gas exchange.
reduce oxygen exchange via aveoli
A pulmonary contusion can be life-threatening because it can
when to use cpap
- Acute pulmonary edema - Obstructive lung disease - Bronchospasm - With beta-2 agonists - Pulse Ox < 90% - Breathing Rate > 26
true
A patient with a chest injury is considered a high priority.
true
A blow to the chest may cause ineffective heart pumping.
false
A pneumothorax occurs only if there is a break in the skin over the chest cavity.
false
During exhalation, the diaphragm contracts and moves downward.
signs and symptoms of pneumothorax
respiratory distress, sharp chest pain, absent breath sounds on one side and sudden onset of dyspnea (shortness of breath)
pericardial tamponade
diagnosis due to fluid in the pericardium that exerts pressure on the heart and hampers its ability to contract normally.
signs and symptoms of tension pneumothorax
rapid deterioration, severe respiratory distress, signs of shock, absent breath sounds on one side. other signs and symptoms include cyanosis, unequal movement of the chest, distended neck veins, diminished breath sounds on the side opposite to the injury, and deviation of the trachea to the uninjured side.
