Thoracic trauma - Revision history

Rossdonaldson1: /* Background */

2022-04-20T22:05:43Z

Background

← Older revision		Revision as of 22:05, 20 April 2022
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	[[File:Gray530.png\|thumb\|Left pleura cavity (viewed from left) showing intercostal bundles (vein, artery, and nerve) under ribs.]]		[[File:Gray530.png\|thumb\|Left pleura cavity (viewed from left) showing intercostal bundles (vein, artery, and nerve) under ribs.]]
	*Must determine if injury also traverses the diaphragm (intra-abdominal injury)		*Must determine if injury also traverses the diaphragm (intra-abdominal injury)
	**Most deaths in thoracic trauma patients are due to ~~noncardiothoracic~~ injuries		**Most deaths in thoracic trauma patients are due to non-cardiothoracic injuries
	*Excessive ~~PPV~~ can lead to reduced venous return, [[tension pneumothorax]] (avoid excess bagging)		*Excessive positive pressure ventilation can lead to reduced venous return, [[tension pneumothorax]] (avoid excess bagging)
	*Place central lines on the SAME side as existing injury or [[pneumothorax]] (prevent bilateral [[pneumothorax]])		*Place central lines on the SAME side as existing injury or [[pneumothorax]] (prevent bilateral [[pneumothorax]])
	*Hypotensive resuscitation in chest trauma may be beneficial		*Hypotensive resuscitation in chest trauma may be beneficial

2021-04-08T19:57:54Z

Background

← Older revision		Revision as of 19:57, 8 April 2021
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	==Background==		==Background==
			[[File:Gray530.png\|thumb\|Left pleura cavity (viewed from left) showing intercostal bundles (vein, artery, and nerve) under ribs.]]
	*Must determine if injury also traverses the diaphragm (intra-abdominal injury)		*Must determine if injury also traverses the diaphragm (intra-abdominal injury)
	**Most deaths in thoracic trauma patients are due to noncardiothoracic injuries		**Most deaths in thoracic trauma patients are due to noncardiothoracic injuries

2021-02-11T23:44:03Z

See Also

2021-02-04T04:15:16Z

Inspection

← Older revision		Revision as of 04:15, 4 February 2021
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	** Distended		** Distended
	***[[Pericardial effusion and tamponade\|Tamponade]]		***[[Pericardial effusion and tamponade\|Tamponade]]
	***[[~~tension~~ pneumothorax]]		***[[Tension pneumothorax]]
	***[[~~congestive~~ heart failure]]		***[[Congestive heart failure]]
	**Flat		**Flat
	*Circulatory shock		*Circulatory shock

2021-02-04T04:14:55Z

Inspection

← Older revision		Revision as of 04:14, 4 February 2021
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	*Neck veins		*Neck veins
	** Distended		** Distended
	***[[Pericardial effusion and tamponade\|Tamponade]		***[[Pericardial effusion and tamponade\|Tamponade]]
	***[[tension pneumothorax]]		***[[tension pneumothorax]]
	***[[congestive heart failure]]		***[[congestive heart failure]]

2021-02-04T04:14:16Z

See Also

2021-01-31T18:39:49Z

Inspection

← Older revision		Revision as of 18:39, 31 January 2021
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	===Inspection===		===Inspection===
	*Seat-belt sign indicates possible deceleration or vascular injury		*Seat-belt sign indicates possible deceleration or vascular injury
			**determine seatbelt placement (if worn improperly or abnormal body habitus)
	*Paradoxical wall movement indicates [[flail chest]]		*Paradoxical wall movement indicates [[flail chest]]
	*Distended ~~neck veins~~		*Neck veins
	**[[Pericardial effusion and tamponade\|Tamponade]], [[tension pneumothorax]], [[congestive heart failure]]		** Distended
			***[[Pericardial effusion and tamponade\|Tamponade]
			***[[tension pneumothorax]]
			***[[congestive heart failure]]
			**Flat
			*Circulatory shock
			*Hemothorax
	*Swollen face		*Swollen face
	**SVC compression vs subcutaneous emphysema
	**Conjunctival injection + facial edema + mechanism conducive to traumatic asphyxia may indicate SVC compression		**Conjunctival injection + facial edema + mechanism conducive to traumatic asphyxia may indicate SVC compression
	***also consider judicial/non-judicial hanging and strangulation		***also consider judicial/non-judicial hanging and strangulation
			*Subcutaneous emphysema
			**Anterior neck/supraclavicular
			***Tracheobronchial tree
			***Esophagus (Boerhaave's syndrome)
			**Chest wall
			***Visceral/parietal pleura

	===Palpation===		===Palpation===

2021-01-31T18:28:49Z

Inspection

← Older revision		Revision as of 18:28, 31 January 2021
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	*Swollen face		*Swollen face
	**SVC compression vs subcutaneous emphysema		**SVC compression vs subcutaneous emphysema
			**Conjunctival injection + facial edema + mechanism conducive to traumatic asphyxia may indicate SVC compression
			***also consider judicial/non-judicial hanging and strangulation

	===Palpation===		===Palpation===

2020-10-27T17:47:34Z

See Also

2020-10-27T17:47:23Z

See Also