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Exam (elaborations)

ATCN review (1).

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Exam of 3 pages for the course ATCN 2022 Chapter 8 Musculoskeletal Trauma at ATCN 2022 Chapter 8 Musculoskeletal Trauma (ATCN review (1).)

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ATCN review
10 Signs and sx of tension pneumothorax - ANS-1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign)

Signs and sx of cardiac tamponade - ANS-1. Becks Triad= increased venous
pressure(distended neck veins), decreased arterial pressure(hypotension), muffled
heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx

tension pneumothorax can often be confused with cardiac tamponade, how do you
differentiate? - ANS-Careful assessment of the pt's breath sounds is paramount to
differentiate the two

Tx of tension pneumothorax - ANS-1. Needle decompression- large bore needle 2nd
intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary

triad of death - ANS--Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)

rule of 9's adult - ANS-Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%)

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