As with other systems, you are expected to know two things about chest injuries
1. Life threatening conditions (or the conditions that if you've missed it your patient would die.) airway obstruction, tension pneumothorax, cardiac tamponade, massive bleeding, open suckling chest wound and massive flail chest
If you detect even a single of the 6 deadly conditions, please correct the problem effectively before secondary survey starts. Investigations are not needed. For example, if the patient suffered from blunt chest injury and developed shock with decrease breath sound of left (or right) chest without significant bleeding, chest tapping (or even chest drain should be done right away.
2. Common chest injuries : Because they are so common, it's worth to know every aspect of them as much as possible. As examples, they are fracture ribs, pain control, chest drain, or fluid replacement therapy.
You have to know indications for open the chest. If the patient was cardiac arrest from penetrating injury with signs of life, Emergency Department (emergency room) (or you could say "on scene") thoracotomy is the solution. If the condition is not such extreme, do not do this procedure at the emergency room (as guided by the indications for surgery). This condition is too serious for a single man (even an experienced trauma surgeon), for patient's safety, call for help.
1. Life threatening conditions (or the conditions that if you've missed it your patient would die.) airway obstruction, tension pneumothorax, cardiac tamponade, massive bleeding, open suckling chest wound and massive flail chest
If you detect even a single of the 6 deadly conditions, please correct the problem effectively before secondary survey starts. Investigations are not needed. For example, if the patient suffered from blunt chest injury and developed shock with decrease breath sound of left (or right) chest without significant bleeding, chest tapping (or even chest drain should be done right away.
2. Common chest injuries : Because they are so common, it's worth to know every aspect of them as much as possible. As examples, they are fracture ribs, pain control, chest drain, or fluid replacement therapy.
You have to know indications for open the chest. If the patient was cardiac arrest from penetrating injury with signs of life, Emergency Department (emergency room) (or you could say "on scene") thoracotomy is the solution. If the condition is not such extreme, do not do this procedure at the emergency room (as guided by the indications for surgery). This condition is too serious for a single man (even an experienced trauma surgeon), for patient's safety, call for help.
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