Professional Documents
Culture Documents
Pleural Space
Anatomy of the pleural space
Connected to
Pleural space the ribs
Aorta
Anatomy of the chest
Veins
(Superior vena cava)
Veins
(Inferior vena cava)
Main causes of chest trauma
Blunt trauma: blunt force to the chest
➡ Simple/Open Pneumothorax
➡ Tension pneumothorax - lungs
➡ Massive hemothorax - lungs
➡ Flail Chest - skeleton and lungs
➡ Cardiac tamponade - heart
➡ Traumatic aortic disruption - heart
Open Pneumothorax
Inhale
Open Pneumothorax
Exhale
Open Pneumothorax
Inhale
Open Pneumothorax
Exhale
Open Pneumothorax
Inhale
Open Pneumothorax
Inhale
The is what we call a
“Sucking chest wound”
Signs and Symptoms
◆ Sudden sharp pain
◆ Decreased lung sounds to the affected side
◆ Severe shortness of breath
◆ Red bubble on exhalation from the wound
◆ Subcutaneous Emphysema
Subcutaneous Emphysema
When a lung becomes lacerated and the air
escapes into the soft tissue of the chest.
Feels like rice crispies or bubble wrap
Occlusive dressing
Exhalation
Injuries of the chest
➡ Simple/Open Pneumothorax - lungs
➡ Tension pneumothorax
➡ Massive hemothorax - lungs
➡ Flail - skeleton and lungs
➡ Cardiac tamponade - heart
➡ Traumatic aortic disruption - heart
Tension Pneumothorax
Tension Pneumothorax
No external
opening…
May be
caused
Damage to the by a rib
lung itself may
produce an puncturing
opening the lung or
the
“paper bag
syndrome”
Tension Pneumothorax
Tension Pneumothorax
Each time we inhale,
the lung collapses further. There
is no place for the air to
escape..
Pneumothorax
Each time we inhale,
the lung collapses further. There
is no place for the air to
escape..
Pneumothorax
The trachea is
pushed to
the good side
Heart is being
compressed
Pneumothorax
Signs and symptoms
♥ Decreased breath sounds
♥ SOB
♥ Cyanosis
♥ Decreased blood pressure
♥ Rapid and weak pulse
♥ Distended neck veins - why ???
Treatment for a
Tension Pneumothorax
Maintain an open airway
High flow O2
❆ The breaking of 2
or more ribs in 2
or more places
Signs and symptoms
of a flail chest
✗ Shortness of breath
✗ Paradoxical movement
✗ Bruising and swelling
✗ Signs of shock
✗ Crepitus( the sound of bone grinding)