Professional Documents
Culture Documents
Anatomy
Overview of Chest
Injuries
Can be life-threatening
May result in damage to either the heart or the lung and
cause severe internal bleeding
Rib cage fractures may result in serious injury to vital
organs
Deep, open wounds allow air to enter the chest cavity
Closed wounds usually involve injury to the ribs and
possibly underlying structures
Rib Fracture
Rib fractures are almost always the result of
trauma (a blow) to the rib cage
Signs and Symptoms
Rib Fracture
Treatment
Give oxygen
Make the patient as comfortable as possible
Activate EMS and treat as Load and Go
Transport patient
in the position of maximum comfort on the injured
side
Flail Chest
Several adjacent ribs fractured in more than one
place can produce a loose section of the chest
wall
The flail section moves inward when the patient
breathes in, and outward when the patient
breathes out
This phenomenon is known as paradoxical
movement
Flail Chest
Flail Chest
Treatment
Give oxygen as soon as possible
Be prepared to give AR
Help the patient get in a comfortable position and
transport to medical aid.
Activate EMS and treat as Load and Go
Continue to monitor vital signs
Unless there is substantial bleeding, do not apply
bulky padding or dressings
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Use of Dressings on a
Flail Chest
To apply dressings
Press the segment inward with your gloved hand to stabilize it
Splint in the inward position with a pillow, large bulky dressing, or
folded blanket or parka
Secure this thoroughly in place with tape
Be prepared to help breathing with AR
Do not hold in place with bandages encircling the chest. This
would further impair the patients breathing effort
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Pneumothorax
12
Pneumothorax
13
Pneumothorax
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15
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Treatment
Seal the wound with any airtight material
Tape the material in place on three sides. Leave the bottom
(based on patient position) side unsealed to release
accumulated air
Continually monitor the dressing to ensure that the seal is
effective on inspiration only
in a position of comfort
in a position which will not impair breathing
give oxygen
monitor vital signs
activate EMS and treat as Load and Go
17
Impaled Objects
Impaled objects are things such as broken glass
or large splinters that are both embedded into
and protruding from the body
Signs and Symptoms
18
Impaled Objects
Treatment
do not move or remove the object
build up a dressing around the object to hold it in place during
transportation
tape the dressing in place