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10 Cards in this Set

  • Front
  • Back
Life threatening conditions
tension pneumothorax
open pneumothorax
flail chest
hemothorax
cardiac tamponade
Dx of tension pneumothorax
clinical (dyspnea, JVD, tachypnea, anxiety, pleuritic chest pain, unilateral decreased or absent breath sounds, tracheal shifts away from affected side, hypotension)
Tx of tension pneumothorax
chest tube decompression
needle thoracostomy
Tx of Open pneumothorax
chest tube
occlusive dressing
intubation w/ positive pressure ventilation
What is flail chest
fractures of 4> ribs
paradoxical motion
Tx of flail chest
1. pain control (epidural)
2. If resp failure: endotracheal intubation, and positive pressure ventilation
Dx of Hemothorax
clinical (hypotension, unilateral decreased or absent breath sounds, dullness to percussion on affected side)
Tx of hemothorax
1. fluid and chest tube
2. If bleeding >200ml/hr ex-lap
Dx cardiac tamponade
clinical (Beck's triad: decreased heart sounds, JVD, hypotension)
Tx of cardiac tamponade
1. decompression & fluids
2. pericardial window