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General Discussion

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Paramedic Review-Mike B. 🚑🚒


Collapsed Lungs (Each one of these will present with absent or diminished LS on affected side)



Pneumothorax (Simple or Closed) =Blunt Trauma



Open Pneumothorax=Sucking Chest Wound =Penetrating Trauma



Tension Pneumothorax



Hemothorax





Patho-A collapsed lung, when air escapes from that floppy lung and accumulates in the pleural space


Tension-A collapsed lung, when air escapes from that floppy lung and accumulates in the pleural space. Every breath the pt. takes in, it cannot be exhaled. On each inhalation TENSION builds, putting pressure on the heart



Pneumothorax/Open

  • Chest pain

  • Absent or diminished LS on affected side

  • SOB

  • Dyspnea

  • Tachycardia

  • Low Spo2


Tension PTX

  • Chest pain

  • Absent or diminished LS on affected side

  • SOB

  • Dyspnea

  • Tachycardia

  • Low Spo2

  • JVD

  • Hypotension

  • Subcutaneous emphysema

  • Hyper resonant sounds

  • Tracheal deviation




How many pairs of ribs do we have?


12 pairs


Ribs 1-7=True ribs


Ribs 8-10=False ribs


Ribs 11-12=Floating ribs





Flail Chest


Patho-2 or more ribs broken, in 2 or more places

  • It causes a free-floating segment

  • It affects the True Ribs


  • Severe CP/Rib pain

  • Unstable chest wall

  • Crepitus

  • Paradoxical Chest Movement

  • SOB

  • Dyspnea



Critical Burn Areas

  • Face

  • Airway involvement

  • Circumferential Chest

  • palm

  • soles

  • joints

  • Genitalia


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