Chest injuries ppt 97

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Short EMS presentation, 1/2 hour chest trauma

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Chest injuries ppt 97

  1. 1. Bill Tarrant EMT-P I/C
  2. 2. Chest Injury Divisions <ul><li>Chest Injuries are broken into 2 categories: </li></ul><ul><ul><li>1. Open chest injury-Must have opening or break in skin. </li></ul></ul><ul><ul><li>2. Closed chest injury-Usually from blunt trauma to chest cavity. </li></ul></ul>
  3. 3. Closed Chest Injuries
  4. 4. Treatment of the Pulmonary Contusion <ul><li>1. Supplementary Oxygen ASAP! </li></ul><ul><li>2. Check for flail chest and treat accordingly. </li></ul><ul><li>3. Even without flail chest area may experience relief with soft pressure to affected area. </li></ul><ul><li>Signs and symptoms may take hours to develop, due to slow swelling to area. GOOD PATIENT ASSESSMENTS! </li></ul>
  5. 5. Pericardial Tamponade
  6. 6. <ul><li>Pericardial Tamponade Signs: </li></ul><ul><ul><li>1. Trachial Deviation </li></ul></ul><ul><ul><li>2. Narrowing Pulse Pressures </li></ul></ul><ul><ul><li>3. Distended Neck Veins (JVD) </li></ul></ul><ul><ul><li>Treatment: </li></ul></ul><ul><ul><li>1.Rapid Transport! Treatment requires </li></ul></ul><ul><ul><li>Pericardiocentesis. </li></ul></ul>
  7. 8. <ul><li>Treatment Continued: </li></ul><ul><ul><li>2. High Flow O2. </li></ul></ul>
  8. 9. Tension Pneumothorax
  9. 10. <ul><li>Tension Pneumo Signs: </li></ul><ul><ul><li>1. JVD </li></ul></ul><ul><ul><li>2. Trachial Deviation </li></ul></ul><ul><ul><li>3. SOB </li></ul></ul><ul><ul><li>Late stages patient unable to take deep inspiration and blood pressure affected due to squeezing affect. </li></ul></ul>
  10. 11. <ul><li>Treatment: </li></ul><ul><li>1. High flow O2! </li></ul><ul><li>2. Get the medics! </li></ul><ul><li>Chest Decompression </li></ul>
  11. 12. ON TO THE OPEN CHEST WOUNDS
  12. 13. The Old Implaled Object <ul><li>1. Don’t remove! </li></ul><ul><li>2. Stabalize in position. </li></ul><ul><li>3. High flow O2 </li></ul><ul><li>4. Treat for shock. </li></ul><ul><li>5. To large to transport, cut above not below….. </li></ul>
  13. 15. The Sucking Chest Wound
  14. 16. The art of the 3 sided dressing.

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