Review Note
Last Update: 09/18/2024 11:34 PM
Current Deck: Pato Qx examen
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Commit #152028
Breathing [1]
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Commit #152028Identify and treat chest injuries, e.g., tension pneumothorax, open pneumothorax, massive hemothorax, flail chest, and tracheobronchial injuries.
- Assess oxygenation: Evaluate SpO2 and start continuous pulse oximetry.
- Assess ventilation
- Vital signs: Monitor rate and quality of respirations; consider EtCO2 monitoring.
- Neck: Inspect for jugular venous distension and tracheal deviation
- Chest: Auscultate and inspect for chest wall injuries: e.g., penetrating wounds, subcutaneous emphysema, absent breath sounds, paradoxical chest movement
- Consider eFAST to help identify pneumothorax at the bedside.
- Perform initial interventions.
- Supplemental O2
- Emergency chest decompression for suspected tension pneumothorax.
- 3-sided dressing for sucking chest wound
- BMV or mechanical ventilation for respiratory failure
If traumatic pneumothorax is suspected in a patient requiring positive pressure ventilation, perform tube thoracostomy immediately to prevent progression to tension pneumothorax. [1]