1009 Thoracic Trauma.ppt

7/25/2019 1009 Thoracic Trauma.ppt

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UNCLASSIFIED

UNCLASSIFIED

THORACIC TRAUMA


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UNCLASSIFIED

REFERENCES

Pre Hospital Trauma Life Support (PHTLS)Military 7thed. 2011 ISBN 978-0-323-06503-0CHAPTER ! pp" #$%&&

Spe'ial Operatios For'es Mei'al Ha*oo+US Special Operatio! "o##ad 2ded. 2010 ISBN 978-0-16-08$7$$-8PART ,

2


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UNCLASSIFIED

UNCLASSIFIED

LEARNIN- O./ECTI0ES

PH1SIOLO-1 OF THE RESPIRATION

CHEST E2AMINATION

MECHANISMS OF CHEST IN/URIES

PATHO%PHISIOLO-1 AND TREATMENT

SIMPLE PNEUMOTHORA2

OPEN CHEST 3OUND

TENSION PNEUMOTHORA2

MASSI0E HEMOTHORA2

FLAIL CHEST

CARDIAC TAMPONADE

3


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UNCLASSIFIED

CHEST TRAUMA IS THE

&rLEADIN- CAUSE OF TRAUMA DEATHS ON COM.AT E0EN IF THE INCIDENCE3AS REDUCED DUE TO THE USE OF .OD1 ARMOR

SOME CHEST IN/URIES ARE

IMMEDIATEL1 LIFE%THREATENIN-

$


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UNCLASSIFIED

UNCLASSIFIED

RESPIRATION

INHALATION

AIR 4 O#ENTERS LUN-S

E2HALATION

AIR 4 CO#MO0ES FROM LUN-S

5


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UNCLASSIFIED

-AS E2CHAN-E

.LOOD FROM 0EINS

ARRI0ES THROU-H

PULMONAR1 ARTER1

THE -AS E2CHAN-E

TA5ES PLACE IN THE

AL0EOLUS

6


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UNCLASSIFIED

RESPIRATOR1 D1SFUNCTION

FOLLO3IN- TRAUMA

ALTERED MO0EMENT OF THE CHEST AND DECREASE IN6

%&' ()'( (*(I+(B+' ,O) (S '"&(N'

B+OO/ '%%IN %O %&' +UNS

O2'%%IN %O %&' (+*'O+I

"O2B'IN )'+'(S'/ IN%O %&' (+*'O+I

7


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UNCLASSIFIED

Re'o7er8 positio

Pre7ious 9uieliesere to place the ca!alty ith the ired !ide do

IO% acilitate the 4ood !ide epa!io ad etilatio

I:ure sie up #ore recet !tdie! de#o!trated i!tead that

per!io i! the ir!t cocer ad IO% e!re the e!t per!io

to the o-ired !ide thi! oe ha! to e placed do

%o additioal co##et! aot hai4 ired !ide i! p are

+e!! che!t pai

%reat#et! are ea!ier to rea!!e!!

8


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UNCLASSIFIED

UNCLASSIFIED

CHEST E2AMINATION

INSPECT 4 CHEC5 THE .AC5 (IT IS A PART OF THECHEST INSPECTION)

PALPATE

AUSCULTATE ; MAR5 THE PMI

PERCUSS

9


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UNCLASSIFIED

INSPECTION

THE INSPECTION OF THE CHEST STARTS AL3A1SFROM THE NEC5< THERE 1OU LOO5 FOR6

3OUNDS

TRACHEA DE0IATION

/U-ULAR 0EINS DISTENSION (/0D)

10

STA. 3OUNDS -S3


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UNCLASSIFIED

UNCLASSIFIED

INSPECTION

THEN! 1OU HA0E TO INSPECT THE THORACICRE-ION" THERE 1OU LOO5 FOR

.ILATERAL RISE AND FALL OF THE CHEST

3OUNDS

3OUNDS IN HIDDEN PLACES (ARMPITS)

11


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UNCLASSIFIED

UNCLASSIFIED

INSPECTION

12

.ILATERAL RISE AND FALL OF THE CHEST3OUNDS3OUNDS IN HIDDEN PLACES


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UNCLASSIFIED

Assess a treat t=e >ou

13

UNCLASSIFIED


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UNCLASSIFIED

CHEC5 THE .AC5it= %#''

Remo7e t=e plu9er

: *u**les ii'ate release tesio

: NaCl flo>i9 isie ii'ates o

tesio ito t=e pleural 'a7it8

$3

UNCLASSIFIED


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UNCLASSIFIED $$

NEEDLE DECOMPRESSION

UNCLASSIFIED

NEED E DECOMPRESSION


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UNCLASSIFIED $5


EMER-ENC1 PROCEDURE TO RELIE0E THE TENSIONINSIDE THE PLEURAL CA0IT1

AN APPROPRIATE LAR-E NEEDLE IS NEEDED

(@%B -AU-E &"#G)

IT .U1S TIME

IT IS EAS1 TO PERFORM

NO%' it ta;e! 1-2hr! or a te!io


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MIDCLA0ICULAR LINE

$6


@%t= INTERCOSTAL SPACE! NIPPLE

LE0EL! A.O0E THE RI.5th rib

6th rib

ANTERIOR A2ILLAR1 LINE (AAL)

#INTERCOSTAL SPACE!

A.O0E THE THIRD RI.

Le>is a9le

UNCLASSIFIED

AIR RELEASE S1STEM (ARS)


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UNCLASSIFIED $7

AIR RELEASE S1STEM (ARS)

UNCLASSIFIED



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UNCLASSIFIED


$8

UNCLASSIFIED

NEEDLE DECOMPRESSION HAARDS


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UNCLASSIFIED

NEEDLE DECOMPRESSION % HAARDS

$9

UNCLASSIFIED

MASSI0E HEMOTHORA2


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UNCLASSIFIED

MASSI0E HEMOTHORA2

COLLECTION OF LAR-E 0OLUMES OF.LOOD IN PLEURAL CA0IT1 ='("&


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UNCLASSIFIED 51

SI-NS OF MASSI0E HEMOTORA2

DIFFICULT AND RAPID .REATHIN-

SI-NS OF H1PO0OLEMIC SHOC5

TACH1CARDIA 3ITH 3EA5 PULSE

DECREASED .REATH SOUNDS

DULL PERCUSSION SOUND ON AFFECTED SITE

UNCLASSIFIED

HEMOTHORA2 FLUID LINE


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THE AFFECTED SIDE OF THE CHEST

CAN .E ALMOST COMPLETEL1

FILLED 3ITH .LOOD

TO ASSESS THE SE0ERIT1 OF THE .LEEDIN- ON THE

FIELD IS RECOMMENDED TO DRA3 A LINE THAT

FOLLO3S THE DULLNESS ON THE CHEST AND

MAR5 THE TIME IN

ORDER TO CHEC5

THE PRO-RESSION

52

HEMOTHORA2 FLUID LINE

&KK

#&K

UNCLASSIFIED

FLAIL CHEST


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UNCLASSIFIED

FLAIL CHEST

MULTIPLE RI. FRACTURES

A.NORMAL MO0EMENT OF THEFRACTURED SE-MENT 3ITHREDUCTION OF 0ITAL CAPACIT1

LI5ELIHOOD OF SE0ERE UNDERL1IN-LUN- DAMA-E

SE0ERE H1PO2IA RESULTS DUE TOPAIN ASSOCIATED 3ITH INSPIRATION

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UNCLASSIFIED

FLAIL CHEST


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UNCLASSIFIED

FLAIL CHEST

5$

STA.ILIE 4 O21-ENATE

UNCLASSIFIED

FLAIL CHEST


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UNCLASSIFIED

FLAIL CHEST

55

UNCLASSIFIED

FLAIL CHEST


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UNCLASSIFIED

FLAIL CHEST

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UNCLASSIFIED

FLAIL CHEST TREATMENT


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UNCLASSIFIED

FLAIL CHEST % TREATMENT

57

STA.ILIE

CORRECT H1PO2IA

POSITIONIN-

INTERCOSTAL .LOC5S

PAIN 5ILLERS DRU-S 3ITHOUT

SIDE EFFECTS DEPRESSIN- THERESPIRATION

Documents

1009 Thoracic Trauma.ppt