lesson 6: chest injuries emergency reference guide p. 47-50
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Lesson 6: Chest Injuries Emergency Reference Guide p. 47-50. Objectives. Demonstrate a field assessment of a person with a chest injury Describe the emergency treatment and long term care of: Fractured rib/clavicle Pneumothorax Tension pneumothorax Fail Chest Sucking Chest Wound - PowerPoint PPT PresentationTRANSCRIPT
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Lesson 6: Lesson 6: Chest Injuries Chest Injuries
Emergency Reference Guide p. 47-50Emergency Reference Guide p. 47-50
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ObjectivesObjectives• Demonstrate a field assessment of a person
with a chest injury• Describe the emergency treatment and long
term care of:– Fractured rib/clavicle – Pneumothorax– Tension pneumothorax– Fail Chest– Sucking Chest Wound– Describe when to evacuate SLOW vs. FAST
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Checking and Caring for Chest Checking and Caring for Chest InjuriesInjuries
• What are Signs & Symptoms of a Chest injury?– Deformity, Open wounds, Tenderness, Swelling
(DOTS)– Windpipe pushed to one side of neck– Abnormal breathing– Bleeding or holes with/without bubbles, bruising– Unusual noises like gurgling or air escaping– Abnormal chest rise
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Checking & Caring for Chest Checking & Caring for Chest Injuries Injuries (cont’d.)(cont’d.)
• Signs & Symptoms (cont’d.)
– Patient is guarding a particular area– While exerting some pressure with hands you
• Hear cracking sounds • Feel/hear crumbling• Find depressions
– Patient has point pain/tenderness along ribs or clavicle (aka collarbone)
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Chest InjuriesChest Injuries
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Chest InjuriesChest Injuries
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Rib InjuriesRib Injuries
• What are the Signs & Symptoms?– Pain in the clavicle or rib area– Complaints of increased pain with deep
breathing– Discoloration, bruising or swelling – Guarding the injury from being
touched/moved– Specific point where pain is most intense
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Rib Injury TreatmentRib Injury Treatment
• Protect simple fracture by:– Supporting arm on injured side with sling &
swath– DO NOT band snugly around patient’s chest– Encourage patient to take regular deep
breaths to keep lungs clear of fluid– Try padding area to increase comfort
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Rib Injury CareRib Injury Care
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Lung InjuriesLung Injuries• Lung injuries can lead to pneumothorax
(air trapped in chest).
– Leads to:• Difficulty breathing & rising anxiety
• Pneumothorax can worsen until patient cannot breath adequately (i.e. tension pneumothorax)
• Suspicion of pneumothorax requires immediate (FAST) evacuation
• No treatment available in wilderness setting for a lung injury
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Flail ChestFlail Chest
• Ribs broken in several places, free floating bones
• Flail section moves in opposition to rest of chest• Not common, can be life-threatening, immediate
evacuation necessary• May need to give rescue breaths• Applying bulky dressing may allow patient to
breath easier. Do not wrap chest with tape
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Sucking Chest WoundSucking Chest Wound
• Characterized by open wound that bubbles & makes noises when breathing
• Do not remove impaled objects. Immobilize & seal wound(s)
• Apply Occlusive dressing– Apply Air barrier (i.e. plastic baggie, etc.)
• One corner is left open to allow air to escape
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Guidelines for EvacuationGuidelines for Evacuation
• GO SLOW with suspected rib fracture. Patient may walk:– Must be evaluated by health care provider– Patient may have difficulty breathing
• GO FAST & transport patient for:– Increase difficulty breathing– Flail chest– Sucking chest wound– Transport on side with injury or other position of
comfort.
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Preventing Chest InjuriesPreventing Chest Injuries
• Prevention is important, since no effective field treatment is available in field
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SHOUT OUTSHOUT OUT
• What are some possible chest injuries you can anticipate in a Wilderness or remote location?
• What are some smart ways to help prevent chest injuries?
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Questions?Questions?
What else can be added to the First Aid Kit?What else can be added to the First Aid Kit?