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Chest Injuries Musculoskeletal Anatomy

Musculoskeletal TopographicAnatomy of the Chest

Topographic Anatomy Anatomy

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Assessment of the Chest

ExposeInspectPalpateAuscultatePercussion

What are we assessing for?DeformitiesContusionsAbrasionsPenetrationsParidoxical MotionBurnsTendernessLacerationsSwelling

Mechanisms of Blunt Chest Trauma

BlastCrushDeceleration

Mechanisms of Penetrating Chest Trauma

Low EnergyHigh EnergyShotgun

Chest Wall Injuries Rib and Sternal Fractures

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Flail Chest Ventilations with a Flail Chest

Other Chest Wall InjuriesChest Wall ContusionScapular FractureFirst or Second Rib FxImpalement InjuriesInjuries Below the Nipple Line

Management of Chest Wall Injuries

Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedMaintain High Suspicion for Occult InjuriesRapid Transport to Appropriate Trauma Facility

Pulmonary Injuries Simple Pneumothorax

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Treatment for a Simple Pneumothorax

Spinal Motion Restriction High Flow OxygenSupport AirwayContinuous Reassessment for Tension PneumothoraxRapid Transport to Appropriate Trauma Facility

Open Pneumothorax

Treatment of an Open Pneumothorax

Spinal Motion Restriction High Flow OxygenSupport AirwaySeal Chest WoundRapid Transport to Appropriate Trauma Facility

Tension Pneumothorax

Treatment of a Tension Pneumothorax

Spinal Motion Restriction High Flow OxygenSupport AirwayRapid Transport to Appropriate Trauma Facility

Hemothorax

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Treatment for a Hemothorax

Spinal Motion Restriction High Flow OxygenSupport AirwayTreat for ShockRapid Transport to Appropriate Trauma Facility

Other Pulmonary Injuries

Pulmonary ContusionTension Pneumo/Hemothorax

Treatment for Other Pulmonary Injuries

Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedRapid Transport to Appropriate Trauma Facility

Cardiovascular Injuries

Myocardial Contusion Treatment for a Myocardial Contusion

Spinal Motion Restriction High Flow OxygenSupport AirwayRapid Transport to Appropriate Trauma Facility

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Pericardial Tamponade Treatment for Pericardial Tamponade

Spinal Motion Restriction High Flow OxygenSupport AirwayRapid Transport to Appropriate Trauma Facility

Other Cardiovascular Injuries

Traumatic Aortic RuptureRupture of Vena CavaMyocardial Rupture

Treatment for Other Cardiovascular Injuries

Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedRapid Transport to Appropriate Trauma Facility

Other Thoracic Injuries

Tracheobronchial InjuryEsophageal RuptureDiaphragmatic HerniationTraumatic Asphyxia

Treatment for Other Thoracic Injuries

Spinal Motion Restriction High Flow OxygenSupport AirwayTreat Injuries as IndicatedRapid Transport to Appropriate Trauma Facility

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Questions?