Chest trauma

Chest trauma disrupts the structural integrity of the chest wall, and as a consequence may develop flail chest or rib fracture. A flail chest results when three or more ribs are fractured at two or more sites or when the ribs become disarticulated from their cartilage attachments with the sternum. The flail moves outward on exhalation which create an increase in pleural pressure and inward on inhalation. This abnormal movement is called paradoxical chest movement. Bony fragments from a fractured rib may lacerate the lung and cause a pneumothorax or hemothorax. Gas exchange, coughing, and clearance of secretions may all become impaired, therefore vigilant respiratory care must be managed with flail chest and rib fractures. With severe hypoxemia and hypercarbia, intubation and mechanically ventilated with positive end-expiratory pressure, also known as PEEP may be required (Ignatavicius & Workman (2013), p. 683). PEEP improves oxygenation by means of maintain certain amount of pressure (5-15 cm H2O), within the chest cavity, therefore prevents alveoli from collapsing. PEEP enhances gas exchange and prevents atelectasis because the alveoli are kept partially inflated. The chest wall…

I cared for the patient who suffered blunt chest trauma and who was in respiratory distress. My patient was middle aged male who fell off his motorcycle and, as a result of the fall, obtained multiple rib fractures and pneumothorax. CT scan and chest X-ray indicated that he also had bilateral lung atelectasis at the bases. The breathing pattern was irregular, characterized by shallow, rapid respirations at the rate of 30-40 breaths/minute. His oxygen saturation fluctuated between 78-83% on room…

initial nursing assessment and history, followed by continuous systematic patient assessment. The initial nursing assessment in the record was incomplete. This assessment of the child should have included such information as follows: · General appearance: height and weight in relation to age, development of the body, color of the skin, posture, facial expression, presence of fatigue or hyperactivity, gait, an presence/absence of apprehension · Neurological status: level of consciousness, signs…

The staring contest didn't last long when she broke the silence. "Seven years ago." She felt her body stiffen at her own words, at the mentioned period. Her hand reached for the probe to begin the session, though there wasn't much for her to dissect. This female body was identical to the past victims' bodies she had examined, a penetrated wound in the mid chest area with a missing heart, no signs of struggle or restraint. He cleared his throat and decided to go back on topic. "A female…

Correct posture is essential for correct body movement. Without correct posture, muscle imbalances and non-contact injuries may occur. One of the most used screening tests to find these imbalances within an individual is the Functional Movement System (FMS) according to McCall, Carling, Davison, Nedelec, Le Gall, Berthoin, and Dupont (2015). The Functional Movement System is designed to recognize potential weaknesses and risk of injury (Cook, 2010). Therefore, it will be vital for health…

A Mother’s Day Gift – Luxury Feminine Bedrooms on a Limited Budget As Mother’s Day approaches this weekend, the world treats their mothers like a queen. However, if you’re a mother yourself, you’re probably thinking, stretch marks, PTA meetings, sleepless nights and most importantly, nothing is more challenging the motherhood and the word “Mom” seems to be grammatically incorrect and the proper term is spelled “Queen Mom.” That said, my sisters and I set out to give our mother a gift that…

I chose this particular theory last because combines other theories. Transitional learning is a type of learning based on an individuals perspective due to personal changes that initiated a deep desire to obtain specific knowledge. This type of learning is not generally considered for classes based in EMS but in reality this type of learning occurs daily with providers on the field. An example of this would be a patient that presents with upper abdominal pain and acid reflux type…

however, that has changed quite dramatically. I am Edwardian Bald-Chest, creator of the Chest-Ray and CEO of Bald-Chest Inc. Although many people know my name, not many know my story. This is why I have decided to let you all in on the story of how Bald-Chest Inc came to be. It all started a year and a half ago. I was young, or younger than I am now, had a completely hairless chest, and was stupidly, hopelessly devoted to my beautiful wife. We were completely happy, you see, until one day I…

At the time of evaluation, Mrs. Smith was a 54-year-old white married heterosexual female that was referred by her PCP, Dr. Dell, to assess her psychological and emotional functioning. Specifically, Mrs. Smith complained of headaches, stomach aches, and chest pains, along with depressive and anxious symptoms. Furthermore, Mrs. Smith shared that she felt overly emotional when confronted with stressful situations, which has worsened in the past six months and caused her to feel tearful,…

Beep! Beep! Beep! It was July 21, 2098 and Peter just woke up. Last night was a bad night. He was annoyed by all the noise the alarm clock was playing so he opened his bedside table drawer and threw it in the drawer. He was very tired but tried to resist falling back asleep but he just couldn’t. Ten minutes passed and he was still asleep.A creek came from the bedroom door and a big shadow appeared. Peter wakes up and instantly sees the shadow in the morning glow! He crawls till the end of his…