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20 Cards in this Set
- Front
- Back
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Rib Fx 1-2 |
40% mortality Subclav / aorta injury |
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Rib fx 3-9 |
Lung injury - hemo - pneumo thorax Pulmonary contusion Lacerated lung |
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Rib fx left vs right |
Left - spleen kidney Right- liver kidney |
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Flail chest |
3 or more ribs fx in 2 or more places causing free floating rib section resulting in paradoxical chest wall movement |
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Paradoxical chest wall movement |
Sinking during inspiration Bulging during expiration Opposite from negative pressure |
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TX for rib fxs |
Pain O2 euvolemia chest PT / mobilization |
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Great vessel injury |
Aorta / vena cava / pulmonary artery/ vein Complications: rupture/ exsanguination Aneurysm hemothorax cardiac tamponade |
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Great vessel trauma signs |
Asymmetric pulse pressures - right vs left or upper vs lower normal variance </= 10mmhg |
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Pseudocoarctation |
Increased BP upper vs lower extremities |
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Pericardial tamponade |
Collection of excess fluid between visceral and parietal pericardium |
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Pericardial tamponade effects |
⬆️ HR pulsus alternus blunting qrs pulsus paradoxus PEA |
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Pulsus alternus |
Alternating morphology of qrs |
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Pulsus paradoxus |
Change in > 10mmhg arterial pressure w inhalation vs exhalation |
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Blunt cardiac injury / S&S |
R ventricle most anterior most likely injured Localized pain electrical disturbances right sided HF JVD hypotension tachycardia |
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Pneumothorax |
Excess air in pleural space Pulmonary laceration- alveoli damage / injury External wound - sucking injury / bubbling on exhalation |
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Tension pneumothorax |
Trachea deviation late sign Severe resp distress Obstructive shock Needle thoracostomy between rib 2-3 |
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Hemothorax |
Blood on pleural space >1500ml Majority venous - often self tamponades Hypovolemic / obstructive shock |
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Treatment for pneumo hemothorax |
Support O2 CT placement consider thoracotomy |
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Pulmonary contusion |
Bruising to lung Collection of blood Evolves over 6-48hrs |
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Pulmonary contusion tx |
Pain relief Euvolemia Mobilize / clear blood / secretions |
