this happens during inhalation and exhalation
Intense pain with inspiration
Paradoxical chest wall movement
Shortness of breath
Decreasing SpO2 reading
the chest wall isnt moving like it should because of pain. CPAP is ideal for this it forces ventilation and oxygenation of the aveoli
most idicicative would be the decreased breathe sounds and gasping. it showws there is some issue with breathing aka lungs
Ability to speak a few words and then gasp
Respiratory rate of 20 breaths per minute
Extensive bruising to the anterior chest
Elevated heart rate and blood pressure
spo2 is low . there is an o2 problem. hypoxia is occuring
this is in the primary. look for life threatning entry and exit wounds. c collar has already been applied since ppv has been started. you coukd plead the case for a c collar first because it was not stated.
get a full set of vital signs.
check the blood pressure.
look for an exit wound.
place a cervical collar.
this would indicate a tension pnuemo . CPAP is not recommended for this patient since it is just pumping more air into the cavity
She is getting more difficult to ventilate.”
I see an entry wound but cannot find the exit anywhere.”
I do not think her jugular veins are distended.”
Her SpO2 has gone from 90% to 93%.”
place hand over and immediately stabalize in an inward position. CPAP is ideal for a flail segment
apply bulky dressings to the area.
stabilize the segment with his hand.
auscultate breath sounds.
start positive pressure ventilation.
CPAP or BAG . this patient needs help breathing because the pain will cause shallow breathes
administering oxygen through a nonrebreather face mask.
applying ice packs to the flail segment.
providing positive pressure ventilation.
inserting an oropharyngeal airway.
application of c collar is done during the secondary. manual in line is fine then continue with ppv
palpate the chest wall for instability.
place a cervical collar and immobilize her.
examine the patient for additional injuries.
suction the airway to try and remove blood . this patient needs ALS and their airway taken over
Provide positive pressure ventilation.
Stabilize the knife with bulky dressings.
Suction the blood from the airway.
Remove the knife and seal the injury with a dressing.
check the SPO2 of the patient. chest trauma patients can deteriorate very fsast . do this before stabalizing the object and suspecting a spinal injury.
insert a nasopharyngeal airway.
open the airway using the jaw-thrust maneuver.
evaluate the patient SpO2 level.
take manual in-line spinal stabilization.
nonpourus , vaseline, plastic dressing. taped on 3 sides. sometimes 4 and you can burp the wound
Sterile gauze soaked in sterile water
Dry sterile gauze dressing
allows air to move out during exhalation and not in causing a tension pnuemo
causes less pain for the patient.
permits oxygen to still enter the lungs.
decreases the chance of air entering the chest on exhalation.
allows trapped air to escape on exhalation.
he is having a pnuemo
Capillary refill of 3 seconds
Complaint of a worsening headache
Pain and bruising to the left thigh
Decreased breath sounds to the left lung
burp the dressig to relive some of the pressure built up
cover the wound with another dressing.
provide positive pressure ventilation with high-concentration oxygen.
lift the dressing from the wound for several seconds.
tape the dressing on the fourth side.
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