1/18/2011 1 Chest Injuries Musculoskeletal Anatomy Musculoskeletal Topographic Anatomy of the Chest Topographic Anatomy Anatomy
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Chest Injuries Musculoskeletal Anatomy
Musculoskeletal TopographicAnatomy of the Chest
Topographic Anatomy Anatomy
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Assessment of the Chest
ExposeInspectPalpateAuscultatePercussion
What are we assessing for?DeformitiesContusionsAbrasionsPenetrationsParidoxical MotionBurnsTendernessLacerationsSwelling
Mechanisms of Blunt Chest Trauma
BlastCrushDeceleration
Mechanisms of Penetrating Chest Trauma
Low EnergyHigh EnergyShotgun
Chest Wall Injuries Rib and Sternal Fractures
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Flail Chest Ventilations with a Flail Chest
Other Chest Wall InjuriesChest Wall ContusionScapular FractureFirst or Second Rib FxImpalement InjuriesInjuries Below the Nipple Line
Management of Chest Wall Injuries
Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedMaintain High Suspicion for Occult InjuriesRapid Transport to Appropriate Trauma Facility
Pulmonary Injuries Simple Pneumothorax
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Treatment for a Simple Pneumothorax
Spinal Motion Restriction High Flow OxygenSupport AirwayContinuous Reassessment for Tension PneumothoraxRapid Transport to Appropriate Trauma Facility
Open Pneumothorax
Treatment of an Open Pneumothorax
Spinal Motion Restriction High Flow OxygenSupport AirwaySeal Chest WoundRapid Transport to Appropriate Trauma Facility
Tension Pneumothorax
Treatment of a Tension Pneumothorax
Spinal Motion Restriction High Flow OxygenSupport AirwayRapid Transport to Appropriate Trauma Facility
Hemothorax
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Treatment for a Hemothorax
Spinal Motion Restriction High Flow OxygenSupport AirwayTreat for ShockRapid Transport to Appropriate Trauma Facility
Other Pulmonary Injuries
Pulmonary ContusionTension Pneumo/Hemothorax
Treatment for Other Pulmonary Injuries
Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedRapid Transport to Appropriate Trauma Facility
Cardiovascular Injuries
Myocardial Contusion Treatment for a Myocardial Contusion
Spinal Motion Restriction High Flow OxygenSupport AirwayRapid Transport to Appropriate Trauma Facility
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Pericardial Tamponade Treatment for Pericardial Tamponade
Spinal Motion Restriction High Flow OxygenSupport AirwayRapid Transport to Appropriate Trauma Facility
Other Cardiovascular Injuries
Traumatic Aortic RuptureRupture of Vena CavaMyocardial Rupture
Treatment for Other Cardiovascular Injuries
Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedRapid Transport to Appropriate Trauma Facility
Other Thoracic Injuries
Tracheobronchial InjuryEsophageal RuptureDiaphragmatic HerniationTraumatic Asphyxia
Treatment for Other Thoracic Injuries
Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedRapid Transport to Appropriate Trauma Facility
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Questions?
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