EMR ch22

Copyright ©2012 by Pearson Education, Inc.All rights reserved.

Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson

Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley

CHAPTERCHAPTER

Caring for Chest and Caring for Chest and Abdominal EmergenciesAbdominal Emergencies

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ANATOMY OF THE CHESTANATOMY OF THE CHEST




The chest contains the heart and lungs and is separated from the abdominal cavity by the diaphragm muscle.




Each lung is surrounded by a thin lining of tissue called the pleura.




CHEST INJURIESCHEST INJURIES




Use both hands to carefully and thoroughly palpate the chest for pain and deformity.




An open chest injury.







A flail segment results when two or more ribs are fractured in two or more places.










Teaching Tip: Present examples of occlusive dressings.

Place an occlusive dressing over an open chest wound and tape in either three or four sides. Follow local protocol.







Stabilize impaled objects using bulky dressings.




ABDOMINAL EMERGENCIESABDOMINAL EMERGENCIES




Solid and Hollow Organs




For assessment purposes, the abdomen is divided into four quadrants.




ABDOMINAL INJURIESABDOMINAL INJURIES
















Cut away clothing to expose the entire injury.




Place a large sterile dressing moistened with sterile water or saline over the exposed abdominal contents.




Place a plastic sheet over the dressing and secure in place.




An abdominal evisceration.

EMR ch22

Healthcare