chpt. 29
during your assessment of a patient with blunt chest trauma you note that the patient has shallow breathing and a paradoxical movement of the left chest wall you should
assist ventilations with bag-valve mask
37 year old male was pinned between a flatbed truck and a loading dock on exam you find bruising to the chest distended neck veins bilaterally diminished breath sounds and bilateral scleral hemorrhaging you should
aggressively manage his airway
the phrenic nerves control the diaphragm and exit the spinal cord at
C3, C4, and C5
you respond to a residence for a 40 year old female who was assaulted by her husband; the scene is safe. upon arrival, you find the patient lying supine on the floor in the kitchen. she is semiconscious with severe labored breathing. further assessment reveals a large bruise to the left anterior chest, jugular venous distention and unilateral absent breath sounds. as your partner is supporting ventilations you should
immediately request ALS support
a simple pneumonthorax
is commonly caused by blunt chest trauma
you arrive at the scene of a major motor vehicle crash. the patient a 50 year old female was removed from her vehicle prior to your arrival. bystanders who removed her state that she was not wearing a seatbelt. the patient is unresponsive tachycardia and diaphoretic. your assessment reveals bilaterally clear and equal breath sounds a midline trachea and collapse jugular veins. you should be most suspicious that
laceration to the aorta
which of the following organs or structures does not reside within the mediastinum
lungs
when a person is lying supine at the end of exhalation, the diaphragm
may rise as high as the nipple line
you have sealed the open chest wound of a 40 year old male who was stabbed in the anterior chest. your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia and is developing cyanosis you should
partially remove the dressing
the ___ nerves control the diaphragm
phrenic
a man called EMS 12 hours after injuring his chest your assessment reveals a flail segment to the right side of the chest the patient is experiencing respiratory distress and his oxygen sat is 78% his breath sounds are equal bilaterally and his jugular veins are normal you should suspect
pulmonary contusion
a patient who presents with profound cyanosis following a chest injury
requires prompt ventilation and oxygenation
patients with chest injuries will often present with
tachypnea
elevation of the rib cage during inhalation occurs when
the intercostal muscles contract
pleural fluid is contained between the
visceral and parietal pleurae