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What is the significance for ABCDE as-
They have a patent airway
sessment if a person is able to talk?
What are the clinical signs of airway ob- snoring, stridor, hoarseness or no noise
struction? at all
Suction
Removal of foreign body
What are the techniques for clearing an
Head tilt and chin lift
obstructed airway?
Airway adjuncts - Guedel aiway
Definite surgical airway
measuring from the centre of the mouth
How do you size a Guedel airway? (between the first incisors) to the angle
of the mandible
A tension pneumothorax essential acts
as an internal one-way valve - allowing
How does tension pneumothorax lead to air into the chest cavity but not out.
death? This results in pressure on the medi-
astinum, thus decreasing venous return
to the heart and eventual cardiac arrest.
engorged neck veins
Reduced lung expansion
What are the signs of a tension pneu- deviation of trachea to opposite side
mothorax? Hyper-resonant chest
decreased breath sounds on affected
side
needle decompression in 2nd intercostal
Management of tension pneumothorax? space then insertion of chest drain (de-
finitive management)
Three-sided dressing and then insertion
Management of open pneumothorax
of chest drain
2 or more rib fractures in 2 or more
What is a flail chest? places, thus resulting in separation of a
segment of the thoracic cage
Paradoxical movement of this part of the
Clinical sign of flail chest chest wall - indrawing on inspiration and
outwards movement on expiration
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