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7 Cards in this Set
- Front
- Back
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What is the most serious aspect of thoracic injuries? How can it be treated?
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Hypoxia - airway control and an appropriately placed needle or chest tube generally do the trick
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How is a tension pneumothorax initially managed?
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Large caliber needle into second intercostal space in the midclavicular line of affected hemithorax
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How is a tension pneumothorax diagnosed?
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CLINICALLY! Do NOT wait for radiological evidence, treatment cannot be delayed!
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How is an open pneumothorax treated?
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Close defect with sterile occlusive dressing - securely taped on only 3 sides, to allow for a flutter-type valve effect
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What is the initial treatment of a flail chest? (3)
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1. Adequate ventilation
2. Humidified O2 3. IVF - w/ careful monitoring to prevent fluid overload |
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What is the definitive treatment of flail chest?
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1. ensure adequate oxygenation
2. administer fluids judiciously 3. provide analgesia to improve ventilation |
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How are a massive hemothorax and tension pneumothorax differentiated?
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Percussion - hyper-resonance = pneumothorax, dullness = hemothorax
Tracheal position - deviated in tension ptx, not common in hemothorax |
