Mechanism that increases respiratory stimulation when PaO2 falls and inhibits respiratory stimulation when PaO2 climbs
Signs and Symptoms of Chest Wall Injuries
Blunt or penetrating trauma to chest
Erythema
Ecchymosis
Dyspnea
Pain on Breathing
Limited Breath Sounds
Hypoventilation
Crepitus
Paradoxical motion of chest wall
Injuries associated with penetrating thoracic trauma
Closed pneumothorax
Open pneumo
Pneumomediastinum
Hemothorax
Hemopneumothorax
Laceration of vascular structures
Tracheobronchial tree laceration
Esophageal Lacerations
Penetrating cardiac injuries
Pericardial Tamponade
Spinal Cord Injuries
Diaphragmatic penetration/laceration/rupture
Intra-abdominal penetration with associated organ injury
In pediatric patients more flexible ribs permit more serious internal inury before fracture occurs
In pediatric patients more flexible ribs permit more serious internal inury before fracture occurs
Sternal fracture is associated with:
serious mycoardial injury
Sign and symptoms of hemothorax
Blunt of penetrating chest trauma
Signs and symptoms of shock
Dyspnea
Dull percussive sounds over site of collecting blood
Signs and symptoms of pulmonary contusion:
Blunt or penetrating chest trauma
Increasing dyspnea
Hypoxia
Increasing crackles
Diminishing bhreath sounds
Hemoptysis
Signs and symptoms of shock
Blunt cardiac injury may be relieved with:
Oxygen, after severe nagging pain not relieved with rest
Signs and symptoms of pericardial tamponade
penetrating trauma
dyspnea and possible cyanosis
JVD
Weak thready pulse
decreasing blood pressure
Shock
Narrowing Pulse Pressure
Consider early intubation of the patient with flail chest especially when oxygenation remains impaired despite the provision of high flow high concentration oxygen
Consider early intubation of the patient with flail chest especially
when oxygenation remains impaired despite the provision of high flow
high concentration oxygen
Hemothorax patient may be treated beneficially with:
CPAP, the increased intrathoracic pressure may serve to slow the hemorrhage and increae the partial pressure of oxygen