5 Chest Trauma Free Online FlashCards

Should imaging delay decompression when tension pneumothorax is suspected in an unstable patient?

Do not delay indicated emergency decompression to obtain imaging in an unstable patient.

What should be done for an open chest wound while urgent help is arranged?

Apply an appropriate occlusive dressing that permits air to escape, according to protocol. Do not pack or probe the wound.

Which chest injury is suggested by unilateral dullness and decreased breath sounds with signs of shock?

Decreased breath sounds and dullness to percussion on one side, with pallor, tachycardia, and hypotension, are concerning for hemothorax.

What does inward movement on inspiration and outward movement on expiration suggest?

Paradoxical movement suggests flail chest: the affected segment moves inward during inspiration and outward during expiration.

How can pulmonary contusion change after blunt chest trauma?

Pulmonary contusion may become more apparent over time, with oxygenation worsening over the next several hours.

What screening tests are recommended when blunt cardiac injury is suspected?

When blunt cardiac injury is suspected, obtain an admission ECG and measure troponin I as directed by the trauma team.

Which change in a patient with chest trauma calls for the most immediate reassessment?

Worsening oxygenation or work of breathing signals possible deterioration and needs immediate reassessment.

What is important to know about tracheal deviation and hypotension in tension pneumothorax?

Tracheal deviation and hypotension can be late findings; do not wait for them before acting on other signs of tension pneumothorax.

What care should be anticipated for a potentially massive hemothorax?

Escalate immediately, support oxygenation and circulation, and prepare for clinician-directed tube thoracostomy and blood-product resuscitation.

What are key care priorities for a patient with flail chest?

Prioritize close respiratory assessment, oxygenation, effective pain management, and pulmonary hygiene.

Does the presence of a flail segment alone require mechanical ventilation?

A flail segment alone does not require mechanical ventilation if respiratory failure is absent.

Does a reassuring early assessment rule out evolving pulmonary contusion?

A reassuring early assessment or image does not rule out an evolving pulmonary contusion; continue repeated respiratory and oxygenation assessments.