Chest Trauma

  1. Describe a spontaneous PT
    • bleb on lung surface ruptures
    • air from lungs goes out into pleural space
  2. Spontaneous PT affects who?
    • primary-healthy person 
    • secondary-COPD
  3. SxS of spontaneous PT?
    • abrupt onset 
    • asymmetrical chest movements
  4. Risk factors for SPT
    • smoking 
    • genetics 
    • high altitudes 
    • rapid decompression
  5. Describe traumatic types of PT
    • open- gunshot wound 
    • closed-blunt trauma
    • iatrogenic- laceration (thoracentesis)
  6. SxS of traumatic PT?
    • absent breath sounds 
    • air may be heard
    • hemothorax accompanies traumatic PT
  7. Describe tension PT
    injury to chest wall=air to enter pleural space but CAN'T escape
  8. Patho of tension PT?
    • lung collapses 
    • pressure on opposite lung (midiastinal shift)
  9. SxS od tension PT?
    • hypotension 
    • distended neck veins 
    • trachea displacement 
    • shock
  10. What is a pleurodesis? Where?
    • creation of adhesions to prevent recurring PT
    • between parietal and visceral pleura
  11. Risk of another spontaneous?
    increases with each attack
  12. Who gets a hemothorax?
    • chest trauma
    • tumors
    • Pulmonary infarction 
    • TB
  13. Tx for HT?
    thoracentesis or thoracostomy
  14. What is the leading cause of death in trauma?
    • chest injury 
    • MVA or falls
  15. Rib Fx SxS
    • pain during inspiration 
    • coughing 
    • bruises over site
  16. What is flail chest? SxS
    • 2+ consecutive ribs are fractured in multiple places 
    • free-floating ribs

    seesaw movements
  17. Tracheal bronchial injury SxS
    subcutaneous emphysema
Author
maria_mm_10
ID
331458
Card Set
Chest Trauma
Description
Chest Trauma
Updated