1. Blunt Trauma body is struck by blunt object (steering wheel), external injuries may
appear minor with major internal injuries
2. Types of compression and countrecoup
blunt
trauma
3. Penetrating Trau- foreign body impales/passes through body tissue (gunshot, stabbing)
ma
4. Sucking penetrating wound that allows air to be sucked into chest cavity
Chest
wound
5. Pneumothorax presence of air in the pleural space, causes collapse of the lung
6. Open 10. Mild Symptoms of pneumotho- rax
Pneumoth-
orax
7. Closed
Pneu-
mothorax
8. Most
common
population
of Closed
pneu-
mothorax
9. Open
Pneumoth-
orax Dressing
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Air enters pleural space males 20-40, smokers, underweight
through opening in chest
wall (penetrating trauma or
surgical thoracotomies)
no associated external covered with vented dressing to allow air release
wound. Spontaneous, can
be caused by rupture of
blebs on the visceral pleura. Tachycardia, dyspnea
commonly reoccurs
11. respiratory distress, shallow rapid respirations, air hunger, decreased
O2, chest pain, hypotension
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Severe symp-
toms of
pneu-
mothorax
hyper-resonance, trachea deviation, no breath sounds over attected area, cough
12. Other with/without hemoptysis
symptoms of
pneumotho-
rax Needle venting, chest tube with water seal drainage
13. Treatment
for partial pleurectomy
Pneumothora
x
14. Treatment
for repeated
Pneu-
mothorax
15. Hemothorax blood in pleural space, usually occurs with pneumothorax
16. Tension Rapid accumulation of air in pleural space causing high intrapleural
Pneu- pressure and tension on great vessels/heart
mothorax
17. Chylothorax lymphatic fluid in pleural space because of leak in thoracic duct, fluid is
milky,
white with high lipid content
18. Fractured Ribs Most common chest injury, ribs 5-10 most attected
19. Symptoms Ribs
of Fractured
20. Treatment for Fractured Ribs
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21. Differences pain on inspiration, shallow breaths, atelectasis (collapsed lung)
be- tween
right and left
lung decrease pain, promote chest expansion
left: two fishers, more narrow
Right: three fishers, shorter
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