Chest Trauma

Describe a spontaneous PT
- bleb on lung surface ruptures
- air from lungs goes out into pleural space
Spontaneous PT affects who?
- primary-healthy person
- secondary-COPD
SxS of spontaneous PT?
- abrupt onset
- asymmetrical chest movements
Risk factors for SPT
- smoking
- genetics
- high altitudes
- rapid decompression
Describe traumatic types of PT
- open- gunshot wound
- closed-blunt trauma
- iatrogenic- laceration (thoracentesis)
SxS of traumatic PT?
- absent breath sounds
- air may be heard
- hemothorax accompanies traumatic PT
Describe tension PT

injury to chest wall=air to enter pleural space but CAN'T escape
Patho of tension PT?
- lung collapses
- pressure on opposite lung (midiastinal shift)
SxS od tension PT?
- hypotension
- distended neck veins
- trachea displacement
- shock
What is a pleurodesis? Where?
- creation of adhesions to prevent recurring PT
- between parietal and visceral pleura
Risk of another spontaneous?

increases with each attack
Who gets a hemothorax?
- chest trauma
- tumors
- Pulmonary infarction
- TB
Tx for HT?

thoracentesis or thoracostomy
What is the leading cause of death in trauma?
- chest injury
- MVA or falls
Rib Fx SxS
- pain during inspiration
- coughing
- bruises over site
What is flail chest? SxS
- 2+ consecutive ribs are fractured in multiple places
- free-floating ribs
seesaw movements
Tracheal bronchial injury SxS

subcutaneous emphysema

Author

maria_mm_10

331458

Card Set

Chest Trauma

Description

Chest Trauma

Updated

2017-05-14T16:47:30Z

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