Lecture52_Chest Trauma, Cardiac Tamponade & Tension Pneumothorax - Impact on Circulation

Venous return to heart impaired cardiac output

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Unformatted text preview: fts away from affected side Vena cavae “kinked”, venous return to heart impaired Cardiac output compromized Circulatory collapse Tension Pneumothorax Tension Pneumothorax: Clinical Signs Dyspnoea Distended Neck Veins Shock Cyanosis Mediastinal shift away from affected side Subcutaneous emphysema (air bubbles in tissues) Absent or quiet breath sounds Hyper-resonant percussion note (drum-like) Tension Pneumothorax vs. Pneumothorax Simple Tension Pneumothorax: Treatment means IMMEDIATE DECOMPRESSION Tension Pneumothorax: Decompression (Needle) Tension Pneumothorax: Definitive Treatment means CHEST TUBE Tension Pneumothorax: Caveat Tension Pneumothorax should be a CLINICAL DIAGNOSIS Ie. ONE SHOULD NOT NEED A CXR TO CONFIRM THE DIAGNOSIS OF TENSION PNEUMOTHORAX THE PATIENT COULD DIE OF ACUTE CARDIOVASCULAR COLLAPSE IN THE X-RAY DEPT. THE DIAGNOSIS CAN AND MUST BE MADE AND TREATMENT INITIATED ON CLINICAL SUSPICION ALONE Finally: In both of these conditions, the patient’s life is in imminent danger A successful outcome depends on a careful evaluation of the patients’ clinical condition, and decisive and definitive action to save life QUESTIONS?...
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This document was uploaded on 01/10/2014.

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