this happens during inhalation and exhalation
Paradoxical chest wall movement
Decreasing SpO2 reading
Intense pain with inspiration
Shortness of breath
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
Elevated heart rate and blood pressure
Respiratory rate of 20 breaths per minute
Ability to speak a few words and then gasp
Extensive bruising to the anterior chest
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.
check the blood pressure.
place a cervical collar.
get a full set of vital signs.
look for an exit wound.
this would indicate a tension pnuemo . CPAP is not recommended for this patient since it is just pumping more air into the cavity
Her SpO2 has gone from 90% to 93%.”
I see an entry wound but cannot find the exit anywhere.”
I do not think her jugular veins are distended.”
She is getting more difficult to ventilate.”
place hand over and immediately stabalize in an inward position. CPAP is ideal for a flail segment
apply bulky dressings to the area.
auscultate breath sounds.
start positive pressure ventilation.
stabilize the segment with his hand.
CPAP or BAG . this patient needs help breathing because the pain will cause shallow breathes
administering oxygen through a nonrebreather face mask.
providing positive pressure ventilation.
applying ice packs to the flail segment.
inserting an oropharyngeal airway.
application of c collar is done during the secondary. manual in line is fine then continue with ppv
examine the patient for additional injuries.
palpate the chest wall for instability.
place a cervical collar and immobilize her.
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.
Remove the knife and seal the injury with a dressing.
Suction the blood from the airway.
check the SPO2 of the patient. chest trauma patients can deteriorate very fsast . do this before stabalizing the object and suspecting a spinal injury.
open the airway using the jaw-thrust maneuver.
take manual in-line spinal stabilization.
evaluate the patient SpO2 level.
insert a nasopharyngeal airway.
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
decreases the chance of air entering the chest on exhalation.
causes less pain for the patient.
permits oxygen to still enter the lungs.
allows trapped air to escape on exhalation.
he is having a pnuemo
Decreased breath sounds to the left lung
Pain and bruising to the left thigh
Complaint of a worsening headache
Capillary refill of 3 seconds
burp the dressig to relive some of the pressure built up
tape the dressing on the fourth side.
lift the dressing from the wound for several seconds.
provide positive pressure ventilation with high-concentration oxygen.
cover the wound with another dressing.
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