Pneumothorax o Air builds up in the chest cavity so that the lung cant expand o

Pneumothorax o air builds up in the chest cavity so

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- Pneumothorax o Air builds up in the chest cavity so that the lung can’t expand o Occlusive dressing - Open chest injury o Caused by penetration injury o Cavitation occurs with gunshot wounds o May involve injury of the heart major blood vessels o Pneumothorax Penetrating trauma can interfere with breathing Decreased or absent breath sounds on affected side Open or closed o Sucking chest wound Air enters through with each inhalation Must be covered with an occlusive dressing taped on three sides Taping the dressing on four sides can lead to tension pneumothorax Hard to get tape on patient - closed o Blunt trauma can injure the heart, lung o Flail chest Results when two or more adjacemt ribs are each fractured in two or more places creating a segment of the rib cage that is not attached to the rest of the rib cage, interfering with chest expansion Identify Paradoxical motion Danger of puncturing a lung. Fix it – 3” silk tape, from sternum to spine Avoid further compromise of chest movement Do not place the patient on the injured side
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Do not stabilize the chest wall with objects that restrict chest wall motion Probably a spinal injury The fail segment interferes with ventilation and must be stabilixed cpap or positive pressure ventilation may be indicated to improve ventilation and oxygenation also suspect underlying pulmonary contusion - pulmonary contusion o bleeding occurs in the lung tissue in and around the alveoli and in the interstitial space, severly impairing gas exchange o tretement is directed toward supporting oxygenation and ventilation maintain an SPO2 greather than 94% CPAP - Tension Pneumothorax o Muffled Heart Sounds o Blood, air around it, vena cavae is being squezed o Deviation of trachea - Hemothorax o fluid in the lungs o have patient sit up so gravity pulls liquid down - traumatic asphyxia o sudden severe compression of the thorax causes o rapid increase in intrathoracic pressure there is a backflow of the blood out of the right ventricle into the upper body o common In falls car accidents o S&S Bluish or purple discoloration of face ahead neck and shoulders JVD Bloodshot eyes that are protruding from the socket Cyanotic and swollen tongue and lips Bleeding of the conjunctiva o Will not go back to its normal position after squeezed - Cardiac contusion o A bruise to the heart wall may form or the heart may ruptured, disruption in electrical conduction may occur Associated with blunt trauma from violent compression of the chest o S&S Signs of blunt trauma to the chest, including bruises, swelling… - Commotio Cordis o Sudden cardiac arrest from blunt force to the precordial area The blow to the chest during a vulnerable period of the cardiac cycle can lead to a lethal dysrhythmia Start CPR and apply the AED o During repolarization - Pericardial tamponade o
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