Chest Injuries and Management
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Questions and Answers

What is a common sign of abdominal injury?

  • Itching
  • Pain or cramps in abdominal or pelvic region (correct)
  • Sneezing
  • Fever
  • What should you do if a patient has an open wound of the abdomen?

  • Call for medical help immediately (correct)
  • Try to push the intestines back into the wound
  • Give the patient a pain reliever
  • Apply direct pressure to the wound
  • Why is it important to obtain a thorough medical history?

  • To perform surgery
  • To identify potential underlying conditions (correct)
  • To determine the patient's allergies
  • To prescribe medication
  • What is a characteristic of a patient with a rigid, distended, and/or tender abdomen?

    <p>They are lying still with their legs drawn up</p> Signup and view all the answers

    What is a complication of abdominal injuries?

    <p>Life-threatening emergencies</p> Signup and view all the answers

    What should you do when caring for a patient with a closed abdominal injury?

    <p>Perform a thorough assessment of the abdomen</p> Signup and view all the answers

    What is a sign of shock in a patient with an abdominal injury?

    <p>Rapid, shallow breathing</p> Signup and view all the answers

    What is a characteristic of abdominal evisceration?

    <p>Protrusion of intestines through the abdominal wall</p> Signup and view all the answers

    Why is it important to palpate all quadrants of the abdomen?

    <p>To assess for injury</p> Signup and view all the answers

    What should you allow a patient with an abdominal injury to do?

    <p>Maintain a position of comfort</p> Signup and view all the answers

    What may be a result of blunt trauma to the abdomen or pelvis?

    <p>Pain or cramps in the abdominal or pelvic region</p> Signup and view all the answers

    What should be done when assessing a patient with a closed abdominal injury?

    <p>Allow the patient to maintain a position of comfort</p> Signup and view all the answers

    What is a characteristic of a patient with an abdominal injury?

    <p>Lying still with legs drawn up</p> Signup and view all the answers

    What is a sign of a life-threatening emergency in abdominal injuries?

    <p>Bleeding</p> Signup and view all the answers

    What should be done if a patient has an open wound of the abdomen with protrusion of intestines?

    <p>Do not attempt to place the spilled abdominal contents back into the open wound</p> Signup and view all the answers

    Why is it important to perform a thorough assessment of the abdomen?

    <p>To diagnose the patient's condition</p> Signup and view all the answers

    What is a complication of abdominal evisceration?

    <p>Infection</p> Signup and view all the answers

    What is a sign of shock in a patient with an abdominal injury?

    <p>Rapid pulse</p> Signup and view all the answers

    What should be done when palpating the abdomen of a patient with a closed abdominal injury?

    <p>Palpate all quadrants</p> Signup and view all the answers

    What is a characteristic of generalized abdominal pain?

    <p>Pain in the entire abdominal region</p> Signup and view all the answers

    Study Notes

    Chest Injuries

    • Crepitus: a grating sound when bones rub together
    • Closed chest injuries can occur due to blunt force trauma, such as falls, contact sports, vehicle collisions, and blasts
    • Closed chest injury management involves:
      • Performing primary assessment
      • Ensuring ABCs are intact
      • Providing positive pressure ventilations if breathing is inadequate
      • Removing clothing over the area where there is pain
      • Observing and palpating for signs of deformity
      • Administering oxygen per local protocols
      • Splinting the chest using bulky dressings or towels
      • Placing the patient in a position of comfort, if no suspected spine injury
      • Caring for shock
    • Types of closed chest injuries include:
      • Damage to ribs
      • Pneumothorax (chest cavity filling with air from a ruptured lung)
      • Hemothorax (blood from damaged soft-tissues and vessels entering the chest cavity)
      • Flail chest (results when two or more ribs are broken in two or more places)

    Open Chest Injuries

    • Open chest injuries can occur due to penetrating injuries, such as bullet, knife, or glass wounds
    • Open chest injury management involves:
      • Immediately sealing the wound with something that prevents air from entering
      • Taking appropriate Standard Precautions
      • Placing an occlusive dressing directly over the wound and holding it in place
      • Providing high-flow oxygen
      • Caring for shock
    • Types of open chest injuries include:
      • Sucking chest wound (open chest wound characterized by a sucking sound each time the patient inhales)
      • Tension pneumothorax (air builds up inside the chest cavity, causing excessive pressure on one side of the chest)

    Impaled Chest Wounds

    • Impaled objects must be stabilized and left in place
    • Take appropriate Standard Precautions
    • Perform primary assessment
    • Ensure ABCs are intact
    • Assist ventilations as appropriate
    • Provide high-flow oxygen per local protocol
    • Provide care for shock
    • Initiate immediate transport

    Abdominal Injuries

    • Abdominal injuries can produce life-threatening emergencies
    • Signs and symptoms can be delayed for hours or days
    • Types of abdominal emergencies include:
      • Bleeding
      • Constipation
      • Pain or cramps in the abdominal or pelvic region
    • Abdominal injury management involves:
      • Performing thorough assessment of the abdomen
      • Palpating all quadrants
      • Exposing the abdomen to observe for signs of injury
      • Allowing the patient to maintain a position of comfort
    • Abdominal evisceration is an open wound of the abdomen characterized by protrusion of intestines through the abdominal wall
    • Never attempt to place spilled abdominal contents back into the open wound.

    Chest Injuries

    • Crepitus: a grating sound when bones rub together
    • Closed chest injuries can occur due to blunt force trauma, such as falls, contact sports, vehicle collisions, and blasts
    • Closed chest injury management involves:
      • Performing primary assessment
      • Ensuring ABCs are intact
      • Providing positive pressure ventilations if breathing is inadequate
      • Removing clothing over the area where there is pain
      • Observing and palpating for signs of deformity
      • Administering oxygen per local protocols
      • Splinting the chest using bulky dressings or towels
      • Placing the patient in a position of comfort, if no suspected spine injury
      • Caring for shock
    • Types of closed chest injuries include:
      • Damage to ribs
      • Pneumothorax (chest cavity filling with air from a ruptured lung)
      • Hemothorax (blood from damaged soft-tissues and vessels entering the chest cavity)
      • Flail chest (results when two or more ribs are broken in two or more places)

    Open Chest Injuries

    • Open chest injuries can occur due to penetrating injuries, such as bullet, knife, or glass wounds
    • Open chest injury management involves:
      • Immediately sealing the wound with something that prevents air from entering
      • Taking appropriate Standard Precautions
      • Placing an occlusive dressing directly over the wound and holding it in place
      • Providing high-flow oxygen
      • Caring for shock
    • Types of open chest injuries include:
      • Sucking chest wound (open chest wound characterized by a sucking sound each time the patient inhales)
      • Tension pneumothorax (air builds up inside the chest cavity, causing excessive pressure on one side of the chest)

    Impaled Chest Wounds

    • Impaled objects must be stabilized and left in place
    • Take appropriate Standard Precautions
    • Perform primary assessment
    • Ensure ABCs are intact
    • Assist ventilations as appropriate
    • Provide high-flow oxygen per local protocol
    • Provide care for shock
    • Initiate immediate transport

    Abdominal Injuries

    • Abdominal injuries can produce life-threatening emergencies
    • Signs and symptoms can be delayed for hours or days
    • Types of abdominal emergencies include:
      • Bleeding
      • Constipation
      • Pain or cramps in the abdominal or pelvic region
    • Abdominal injury management involves:
      • Performing thorough assessment of the abdomen
      • Palpating all quadrants
      • Exposing the abdomen to observe for signs of injury
      • Allowing the patient to maintain a position of comfort
    • Abdominal evisceration is an open wound of the abdomen characterized by protrusion of intestines through the abdominal wall
    • Never attempt to place spilled abdominal contents back into the open wound.

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    Description

    This quiz covers chest injuries, including closed chest injuries and their management. It includes the primary assessment and treatment of blunt force trauma to the chest.

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