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Emergency Care 13th Edition Chapter 27 Flashcards

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7082763577Blunt TraumaA blow to the chest that can fracture the ribs, the Sternum, and the (Rib) cartilages. ( concern is internal bleed)0
7082763578Penetrating ObjectsBullets, knives, pieces of metal or glass, steel rods, pipes and various other objects can penetrate the chest wall, damaging internal organs and impairing respiration.1
7082763579Flail chestA fracture of two or more consecutive ribs in two or more places.2
7082763580Paradoxical motionThe movement of the flail segment is opposite to the movement of the remainder of the chest cavity.3
7082763581CompressionOccurs when severe blunt trauma causes the chest to rapidly compress4
7082763582Flail Chest AssessmentMOA that can cause flail chest Pt will have difficulty breathing pain at injury sight Signs of shock Hypoxia Paradoxical Motion ( Late Sign)5
7082763583Flail Chest Patient CarePrimary Assessment for other life threats Administer O2 Monitor pt resp. volume carefully if Resp. gets shallow assist Ventilation6
7082763584Assume All open chest injuries areLife threatening7
7082763585Sucking chest wound Pt SignsOpen wound in chest Sucking sound ( may or may not ) pt gasping for air8
7082763586Open Chest wound Pt Caremaintain and open air way seal open chest wound quickly we possible apply occlusive dressing ( 2 inch wider than wound ) High flow O2 Treat for shock Transport as soon as possible consider ALS intercept9
7082763587Cardiac tamponadeWhen injury to the heart causes blood to flow into the sac surrounding pericardial sac. heart sacs fills up with blood and compresses chambers of the heart to the point where they no longer fill backing up blood into the veins. MOI- Penetrating trauma destended neck vein, narrowing pulse pressure signs of shock10
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