Exam (elaborations)
PHTLS - Thoracic Trauma (CH12), PHTLS Pretest, PHTLS pre test 8th edition, phtls 8th Test
- Course
- Institution
PHTLS - Thoracic Trauma (CH12), PHTLS Pretest, PHTLS pre test 8th edition, phtls 8th Test
[Show more]
Content preview
PHTLS - Thoracic Trauma(CH12), PHTLS Pretest,
PHTLS pre test 8th
edition, phtls 8th Test
Denning [Date] [Course title]
,Thoracic Trauma -
Rib Fractures (pathophysiology) - Answer: Upper ribs are broad, thick and particularly well protected by
the shoulder girdle and muscles. Requires great energy to fracture the upper ribs and patient is at risk
for significant injuries such as traumatic disruption of the aorta.
Rib fractures occur most often to Ribs 4-8 laterally, where they are thin and have less over lying
musculature.
Broken ends of ribs may tear muscle, lung and blood vessels with possibility of an associated pulmonary
contusion.
Simple rib fractures are rarely life threatening in adults, may be deadly in the elderly patient.
Compression of the lung may rupture the alveoli and lead to pneumothorax.
Fracture of the lower ribs may be associated with injuries of the Spleen and Liver and may indicate the
potential for intra-abdominal injuries. These injuries may also present with signs of blood loss or shock.
Thoracic Trauma -
Flail Chest - Answer:
Thoracic Trauma -
Pneumothorax (Simple, Open, Tension) - Answer:
Thoracic Trauma -
Pulmonary Contusion - Answer:
Thoracic Trauma -
Hemothorax - Answer: Pathophysiology - Occurs when blood enters the pleural space. Because this
space can accommodate a large volume of blood (2500-3000 ml), hemothorax can represent a source of
significant blood loss and the loss of this circulating blood volume into the pleural space is a greater
physiologic insult to the patient than the collapse of the lung that the hemothorax produces.
, Assessment:
Presentation - some distress, chest pain and SOB are prominent features, generally signs of significant
shock (tachycardia, tachypnea, confusion, pallor and hypotension.) Breath sounds on side of injury are
diminished or absent (percussion note is DULL).
Pneumothorax may be present in conjuction with hemothorax, increasing the likelihood for
cardiorespiratory compromise.
**Because of loss of circulating blood volume, JVD often are NOT present.
Management:
Constant observation to detect physiologic deterioration while providing appropriate support.
High flow O2
Ventilation support via BVM or ETT if indicated.
Hemodynamic status monitored.
IV access an appropriate fluid therapy provided with a goal of maintaining adequate perfusion without
large volumes (SBP 80-90)
Rapid Transport to appropriate facility for surgical intervention.
Thoracic Trauma -
Blunt Cardiac Injury - Answer:
Thoracic Trauma -
Cardiac Tamponade - Answer:
Thoracic Trauma -
Commotio Cordis - Answer:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Dants. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76747 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now