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PenetratingChestTrauma

PenetratingChestTrauma - Penetrating Thoracic Injuries...

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Penetrating Thoracic Injuries Andrew L. Singer January 18, 2005
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Primary Survey Airway Breathing Circulation
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Anatomic Structures Chest Wall Thoracic Vertebrae and Cord Diaphragm Mediastinal Structures Heart Aorta Great Vessels Aerodigestive Tract Pulmonary Parenchyma
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Bony Thorax
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Diaphragm Muscular, dome-like structure Separates abdomen from the thoracic cavity Affixed to the lower border of the rib cage Central and superior margin extends to the level of the 4 th rib anteriorly and 6 th rib posteriorly Major muscle of respiration Draws downward during inspiration Moves upward during exhalation
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Lungs and Mediastinal Structures
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Most injuries to the chest can be successfully managed without surgical intervention.
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Simple Pneumothorax
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Tension Pneumothorax
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Hemothorax
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Hemothorax Tube thoracostomy is adequate treatment in the majority of patients with traumatic hemothorax The pressure of the pulmonary paranchymal
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