Term
| The nipple is typically in what intercostal space on men? |
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Definition
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Term
| where/what are the 4 cardiac auscultation locations? |
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Definition
aortic - 2nd intercostal space, just right of sternum
pulmonic - 2nd intercostal space, just left of sternum
tricuspid - 6th rib, just left of sterum
mitral - 5th intercostal space, left lateral around midclavicular line |
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Term
| what are your landmarks for a subclavian venous line placement? |
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Definition
1/2 way out clavicle
aim two finger breaths above the sternal notch |
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Term
| where do you aim a needle decompression of a pneumothorax? |
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Definition
second intercostal space at the mid-clavicular line.
along the superior border of the third rib |
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Term
| where can a chest tube be placed? |
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Definition
4th, 5th, or 6th intercostal space.
anterior axillary line - aim anterior for air and posterior for fluid |
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Term
| where do you aim for pericardiocentesis? |
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Definition
| left of xiphoid, 45 degree angle to the skin, aim for ipsilateral shoulder |
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Term
| what are the three chest problems that can kill you? |
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Definition
cardiac tamponnade (pericardium full of blood)
exsanguination from intrathoracic injury
tension pneumothorax |
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Term
where do you target with an ER thoracotomy?
what do you do? |
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Definition
aim left 5th intercostal space.
Steps:
open pericardium longitudinally
avoid phrenic nerve
fix cardiac injuries
clamp pulmonary hilum
cross clamp aorta in posterior mediastinum |
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