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Questions and Answers
What is a common sign of abdominal injury?
What should you do if a patient has an open wound of the abdomen?
Why is it important to obtain a thorough medical history?
What is a characteristic of a patient with a rigid, distended, and/or tender abdomen?
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What is a complication of abdominal injuries?
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What should you do when caring for a patient with a closed abdominal injury?
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What is a sign of shock in a patient with an abdominal injury?
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What is a characteristic of abdominal evisceration?
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Why is it important to palpate all quadrants of the abdomen?
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What should you allow a patient with an abdominal injury to do?
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What may be a result of blunt trauma to the abdomen or pelvis?
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What should be done when assessing a patient with a closed abdominal injury?
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What is a characteristic of a patient with an abdominal injury?
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What is a sign of a life-threatening emergency in abdominal injuries?
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What should be done if a patient has an open wound of the abdomen with protrusion of intestines?
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Why is it important to perform a thorough assessment of the abdomen?
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What is a complication of abdominal evisceration?
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What is a sign of shock in a patient with an abdominal injury?
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What should be done when palpating the abdomen of a patient with a closed abdominal injury?
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What is a characteristic of generalized abdominal pain?
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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.
