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PHTLS Thoracic/Abd
PHTLS Thoracic/Abd.
34
Medical
Professional
07/04/2010

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Cards

Term
The total volume of air moved into and out of the lungs in 1 minute.
Definition
Minute Volume
Term
Each pleural space can accomodate approx. ________ of fluid.
Definition
3000ml
Term
In a blunt injury the wave of energy can tear lung tissue and blood vessels, which may result in bleeding into the alveoli. This is called a
Definition
pulmonary contusion
Term
What are the 4 components of a physical exam?
Definition

observation

palpation

percussion

auscultation

Term
A DULL percussion note over the chest may indicate inderlying _______ or _________?
Definition
pulmonary contusion or hemothorax
Term
A RESONANT percussion note may indicate the presence of __________?
Definition
Pneumothorax
Term
Rib fractures occur most often in ribs ____ through ____?
Definition
4-8
Term
When 2 or more adjacent ribs are fractured in more than one place along their length.
Definition
flail chest
Term
What is almost always present in a patient with a flail segment?
Definition
pulmonary contusion
Term
If you have air in the pleural space?
Definition
Simple pneumothorax
Term
AKA a sucking chest wound
Definition
Open pneumothorax
Term
Allows for air to enter and exit the pleural space from the outside ventilatory effort.
Definition
Open pneumothorax
Term
When air continues to enter into the pleural space but has no avenue for egress.
Definition
Tension Pneumothorax
Term
A patient who presents with a decreased breath sounds on the side of injury and a tympanitic percussion note.
Definition
Simple Pneumothorax
Term
Gun shot wounds, shotgun blasts, stabbings, impalements and sometimes blunt trauma all usually result in a ...
Definition
Open Pneumothorax
Term
A patient who presents anxious and tachypneic with an elevated and sometimes thready pulse usually has a ....
Definition
Open Pneumothorax
Term
A patient who exhibits discomfort and apprehension and complains of chest pain and some SOB usually will have a ....
Definition
Tension Pneumothorax
Term
What size needle is used to perform a needle thoracostomy?
Definition
10-16 gauge
Term
What findings are necessary in order to provide a needle thoracostomy?
Definition

respiratory distress or difficulty ventilating

decreased or absent breath sounds

decompensated shock = BP <90mmHg systolic

Term
When blood enters the pleural space?
Definition
Hemothorax
Term
A patient who presents with signs of shock, pallor, confusion, tachycardia, tacypnea, hypotension may have a
Definition
Hemothorax
Term
The most common result of a cardiac compression is a
Definition
cardiac contusion
Term
If you find a patient is bruising over the sternum, crepitance over the sternum, and sternal instability they most likely have a ...
Definition
Cardiac contusion
Term
Most often cardiac tamponade is caused by
Definition
stab wound to the heart
Term
What are the signs of a Cardiac Tamponade called?
Definition
Becks Triad
Term
What are the components of Becks Triad?
Definition

muffled heart tones,

JVD

low BP

 

potentially a paradoxical pulse

Term
What two organs can shear easily?
Definition
Liver and Spleen
Term
Ecchymoises around the flanks is called
Definition
Grey- Turners sign
Term
The mothers Heart rate normally increases during pregnancy by
Definition
15 to 20 beats/min
Term
The mothers BP usually drops by  _____ to _____ during the 2nd trimester.
Definition
5 to 15mmHg
Term
By the 10th week the mothers cardiac output increases by .....
Definition
1 to 1.5 liters
Term
By term the mothers blood volume has increased by about ______ %
Definition
50
Term
Characterized by edema and HTN
Definition
pre-eclampsia
Term
characterized by status mental changes and seizures.
Definition
eclampsia
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