ATLS THORACIC TRAUMA
1. For tension pneumothorax to the variable thickness of the chest wall, kinking of
the catheter, and other technical or anatomic complications, needledecompression
may not be successful. In this case, finger is an alternative approach
Answer: thoracostomy
2. influences the likelihood of success with needle decompression.-
Answer: Chest wall thickness
3. Evidence suggests that a 5-cm over-the-needle catheter will reach the pleural
space >50% of the time, whereas an -cm over- the-
needle catheterwill reach the pleural space >90% of the time. S
Answer: 8
4. Recent evidence supports tx for tension pneumo is placing the large, over-the-
needle catheter at the
Answer: fifth interspace, slightly anterior to themidaxillary line
5. Successful needle decompression converts tension pneumothorax to a
Answer: simple pneumothorax.
6. is mandatory after needle or finger decompression of the chest.
Answer: - Tube thoracostomy
7. Large injuries to the chest wall that remain open can result in an open
pneumothorax, also known as a chest wound
Answer: sucking
8. For initial management of an open pneumothorax,
Answer: promptlyclose the defect with a sterile dressing large enough to overlap the
wound's edges.
9. In open pneumothorax a Tape is securely on only
sides to provide aflutter-valve effect, As the patient breathes in, the dressing
occludes the wound, preventing air from entering, during exhalation the open end of
the dressing allows air to escape from the pleural space.
Answer: three
10. Definitive management of open pneumothorax is placing a assoon as
possible. Subsequent definitive surgical closure of the wound is frequently required.
Answer: chest tube
, 11. The accumulation of > ml of blood in one side of the chest with
a massive hemothorax can significantly compromise respiratory efforts by
compressing the lung and preventing adequate oxygenation and ventilation.-
Answer: 1500
12. Tx for massive hemothorax
Answer: Insert a chest tube to improve ventilation and oxygenation, request
emergent surgical consultation, and begin appropriate resus-citation.
13. is manifested by an electrocardiogram (ECG) that shows arhythm
while the patient has no identifiable pulse.
This dysrhythmia can be present with cardiac tamponade, tension pneumoth-orax, or
profound hypovolemia.
Answer: Pulseless electrical activity (PEA)
14. Severe blunt injury can result in blunt rupture of the atria or the ventricles,and
the only manifestation may be
Answer: PEA arrest.
15. results from the rapid accumulation of more than 1500 mL of
blood or one- third or more of the patient's blood volume in the chest cavity. Itis most
commonly caused by a penetrating wound that disrupts the systemicor hilar vessels,
although massive hemothorax can also result from blunt trauma.
Answer: Massive hemothorax
16. In patients with massive hemothorax, the neck veins may be due to severe
hypovolemia, or they may be distended if there is an associated tensionpneumothorax.
Answer: flat
17. is suggested when shock is associated with the absence of breath
sounds or dullness to percussion on one side of the chest.
Answer: A massivehemothorax
18. Because is the most
serious consequence of chest injury, the goal ofearly intervention is to prevent or
correct .
Answer: hypoxia
19. Most life-
threatening thoracic injuries can be treated with
Answer: airwaycontrol or decompression of the chest with a needle, finger, or tube.
20. dislocation of the clavicular head occasionally leads to
1. For tension pneumothorax to the variable thickness of the chest wall, kinking of
the catheter, and other technical or anatomic complications, needledecompression
may not be successful. In this case, finger is an alternative approach
Answer: thoracostomy
2. influences the likelihood of success with needle decompression.-
Answer: Chest wall thickness
3. Evidence suggests that a 5-cm over-the-needle catheter will reach the pleural
space >50% of the time, whereas an -cm over- the-
needle catheterwill reach the pleural space >90% of the time. S
Answer: 8
4. Recent evidence supports tx for tension pneumo is placing the large, over-the-
needle catheter at the
Answer: fifth interspace, slightly anterior to themidaxillary line
5. Successful needle decompression converts tension pneumothorax to a
Answer: simple pneumothorax.
6. is mandatory after needle or finger decompression of the chest.
Answer: - Tube thoracostomy
7. Large injuries to the chest wall that remain open can result in an open
pneumothorax, also known as a chest wound
Answer: sucking
8. For initial management of an open pneumothorax,
Answer: promptlyclose the defect with a sterile dressing large enough to overlap the
wound's edges.
9. In open pneumothorax a Tape is securely on only
sides to provide aflutter-valve effect, As the patient breathes in, the dressing
occludes the wound, preventing air from entering, during exhalation the open end of
the dressing allows air to escape from the pleural space.
Answer: three
10. Definitive management of open pneumothorax is placing a assoon as
possible. Subsequent definitive surgical closure of the wound is frequently required.
Answer: chest tube
, 11. The accumulation of > ml of blood in one side of the chest with
a massive hemothorax can significantly compromise respiratory efforts by
compressing the lung and preventing adequate oxygenation and ventilation.-
Answer: 1500
12. Tx for massive hemothorax
Answer: Insert a chest tube to improve ventilation and oxygenation, request
emergent surgical consultation, and begin appropriate resus-citation.
13. is manifested by an electrocardiogram (ECG) that shows arhythm
while the patient has no identifiable pulse.
This dysrhythmia can be present with cardiac tamponade, tension pneumoth-orax, or
profound hypovolemia.
Answer: Pulseless electrical activity (PEA)
14. Severe blunt injury can result in blunt rupture of the atria or the ventricles,and
the only manifestation may be
Answer: PEA arrest.
15. results from the rapid accumulation of more than 1500 mL of
blood or one- third or more of the patient's blood volume in the chest cavity. Itis most
commonly caused by a penetrating wound that disrupts the systemicor hilar vessels,
although massive hemothorax can also result from blunt trauma.
Answer: Massive hemothorax
16. In patients with massive hemothorax, the neck veins may be due to severe
hypovolemia, or they may be distended if there is an associated tensionpneumothorax.
Answer: flat
17. is suggested when shock is associated with the absence of breath
sounds or dullness to percussion on one side of the chest.
Answer: A massivehemothorax
18. Because is the most
serious consequence of chest injury, the goal ofearly intervention is to prevent or
correct .
Answer: hypoxia
19. Most life-
threatening thoracic injuries can be treated with
Answer: airwaycontrol or decompression of the chest with a needle, finger, or tube.
20. dislocation of the clavicular head occasionally leads to
