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Tratamiento neumotórax simple

Tubo torácico 5 esp intercostal línea medio axilar

Síntomas neumotórax a tension

Ruidos respiratorios ausentes en el lado afectado


Hiperresonante


Tráquea desviada


Venas cuello distendidas

Tratamiento inmediato neumotórax a tension

Descompresión con aguja 2 esp intercostal línea medio axilar

Definición de tórax inestable

Fractura de 2 o mas costillas consecutivas en 2 o mas sitios

Definición hemotórax masivo

Más de 1500 ml sangre o 1/3 volemia

Síntomas hemotórax masivo

Matidez


Venas cuello colapsadas


RR disminuidos

Tratamiento de hemotórax masivo

Tubo torácico 36-40 french

Grado 1 choque

Menor a 15


Menor a 750

Grado 2 choque

15-30


750-1500 ml

Grado 3 choque

30-40


1500-2000 ml

Grado 4 choque

Más de 2000 ml


Más del 40

Triada fractura laringea

Ronquera


Enfisema subcutáneo


Fractura palpable