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Irregular Resperations, Increased BP, Decreased pulse
- - Cushings Response, Cerebral hemorrahage, incresased icp
- -treated by hyperventilation to contract the cerebral arteries and veins
-
JVD, Muffled heart sounds, Low Blood Pressure
- -Becks Triad
- Watch out for: hemothorax / pneumothorax
-
Shallow breathing, guarding around chest, sucking chest wound
- - Open pneumothorax
- initial - hand on hole
- Secondary - 3 sided occlusive
-
3+ ribs broken in 2+ places in succession
- - Flail chest
- initial - support with hand
- secondary - ball of gauze, pushed in slightly to support the flail section
- Watch for: Pulminary contusion / hemothorax / pneumothorax
-
Breath sounds decreased (hypertympany when percussed), SOB fast and shallow, dimished breath sounds, JVD, tracheal deviation
- - Tension pneumothorax
- - give low flow O2, careful not to make the problem worse
-
Breath sounds decreased (hypotympany when percussed), shock, confusion
- - Massive Hemothorax
- initial - possible o2
- Secondary - treat for shock
-
chest pain, dysrythmias, cardiagenic shock
- - myocardial contusion (very similar to MI)
- initial - possible O2
-
MVC's or falls from height, pulsating mass in the abdomen
- - Traumatic Aortic rupture (or AAA)
- Nothing you can do!
-
Altered LOC, confusion, amnesia, personality changes, focal neurological signs
- - Cerebral contusion
- - deal with secondary injuries (shock, LOC, CAB)
-
Increased ICP symptoms are:
increased BP, decreased pulse and ~ resps
-
Absolute hypovolemia
- - fast pulse
- - flat neck veins
- - weak radial pulse
- - pale skin
-
Relative Hypovolemia (high space) shock
- Injury - low pulse, pink, Flat neck veins, absent PMS in extremities
- Poisoned - fast heart, pale, flat neck veins
-
Mechanical (Obstructive/cardiogenic) shock
- - caused due to:
- - Tension pneumothorax
- - cardiac tamponade
- - myocardial contusion
- S/S
- - quick resps
- - weak pulse
- - pale, cool, diaphoretic
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