ATLS - Chapter 4 Thoracic Trauma
QUESTIONS AND ANSWERS
1. How do you control a massive hemothorax? - ANSWER-Restoration of blood quantity
and placement of chest tube (four/5th intercostal area, simply anterior to the mid
axillary line, 36 or forty French).
If there's right now over 1500ml of blood or if there's ongoing blood >200ml/hr for
two-4 hours, there's indication for thoracotomy.
2. How do you manipulate an open pneumothorax? - ANSWER-Place occlusive dressing
on three aspects of the wound and region a chest tube far off from the website of
the wound.
Definitive remedy is closing the disorder.
3. How do you control cardiac tamponade? - ANSWER-Pericardiocentesis, cardiac
surgical operation to repair damage.
4. How do you treat a anxiety pneumothorax? - ANSWER-Needle decompression - big
quality needle inside the 2nd intercostal area in the mid-clavicular line (8cm
needle reaches >90% of pleural spaces)
Definitive treatment is placement of a chest tube (typically 36 or 40 French)
located at the 4/5th intercostal space at nipple stage, just anterior to the mid
axillary line.
5. How is cardiac tamponade deadly? - ANSWER-Decreased arterial strain causes
hypotension
6. How is flail chest with pulmonary contusion deadly? - ANSWER-The underlying
contusion causes trouble with air flow. Restricted chest wall motion due to pain
causes hypoxia.
7. How is huge hemothorax lethal? - ANSWER-The lack of blood can cause
hypotension and hemorrhagic surprise, the stress at the lung reasons hypoxia.
8. How is open pneumothorax deadly? - ANSWER-The lower in air flow can reason
hypercarbia and hypoxia
9. How is anxiety pneumothorax deadly? - ANSWER-The compression of hilar
structures from stress of the air inside the pleural area causes reduced preload,
and hypotension.
10.What are five deadly accidents secondary to thoracic trauma that want to be recognized
on number one survey? - ANSWER-Tension pneumothorax, flail chest with
pulmonary contusion, open pneumothorax, cardiac tamponade, large hemothorax
11.What are indications for resuscitative thoracotomy? - ANSWER-Penetrative thoracic
harm with pulseless electric hobby (PEA)
QUESTIONS AND ANSWERS
1. How do you control a massive hemothorax? - ANSWER-Restoration of blood quantity
and placement of chest tube (four/5th intercostal area, simply anterior to the mid
axillary line, 36 or forty French).
If there's right now over 1500ml of blood or if there's ongoing blood >200ml/hr for
two-4 hours, there's indication for thoracotomy.
2. How do you manipulate an open pneumothorax? - ANSWER-Place occlusive dressing
on three aspects of the wound and region a chest tube far off from the website of
the wound.
Definitive remedy is closing the disorder.
3. How do you control cardiac tamponade? - ANSWER-Pericardiocentesis, cardiac
surgical operation to repair damage.
4. How do you treat a anxiety pneumothorax? - ANSWER-Needle decompression - big
quality needle inside the 2nd intercostal area in the mid-clavicular line (8cm
needle reaches >90% of pleural spaces)
Definitive treatment is placement of a chest tube (typically 36 or 40 French)
located at the 4/5th intercostal space at nipple stage, just anterior to the mid
axillary line.
5. How is cardiac tamponade deadly? - ANSWER-Decreased arterial strain causes
hypotension
6. How is flail chest with pulmonary contusion deadly? - ANSWER-The underlying
contusion causes trouble with air flow. Restricted chest wall motion due to pain
causes hypoxia.
7. How is huge hemothorax lethal? - ANSWER-The lack of blood can cause
hypotension and hemorrhagic surprise, the stress at the lung reasons hypoxia.
8. How is open pneumothorax deadly? - ANSWER-The lower in air flow can reason
hypercarbia and hypoxia
9. How is anxiety pneumothorax deadly? - ANSWER-The compression of hilar
structures from stress of the air inside the pleural area causes reduced preload,
and hypotension.
10.What are five deadly accidents secondary to thoracic trauma that want to be recognized
on number one survey? - ANSWER-Tension pneumothorax, flail chest with
pulmonary contusion, open pneumothorax, cardiac tamponade, large hemothorax
11.What are indications for resuscitative thoracotomy? - ANSWER-Penetrative thoracic
harm with pulseless electric hobby (PEA)
