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Chest/Thoracic/Skeletal Injury (Fractured ribs, sternum (Clinical …
Chest/Thoracic/Skeletal Injury
Fractured ribs, sternum
Diagnostic test
CXR
Treatment
Epidural analgesia
Clinical Findings
Pain
Tenderness
Crepitus
Inspiratory pain
Flail Chest
Clinical Findings
Inspiratory Pain
Paradoxical chest motion (in with inspiration and out with expiration)
Dyspnea, tachypnea
Diagnosis
CXR
Treatment
Epidural analgesia, surgical fixation
Laryngeal or tracheal crush injury/fracture
Clinical Findings
Severe respiratory distress
Stridor
Inability to speak
Diagnosis
Bronchoscopy
Treatment
Cricothyrotomy
Tracheotomy
Surgical Repair
Pulmonary Contusion
Clinical Findings
Dyspnea
Tachycardia, tachypnea
Crackles
Hypoxemia (may be delayed)
Diagnosis
CXR/CT Scan
Treatment
Supplemental O2
PEEP/CPAP
Pneumothoax
Clinical Findings
Dyspnea
Inspiratory pain
Diagnosis (Imaging to follow treatment if TENSION)
Clinical findings
CXR
CT scan
Clinical Findings if TENSION
Cyanosis
Tachypnea, tachycardia
Hypotension, pulses paradoxus
Decreased breath sounds and hyper resonance on affected side
Mediastinal shift away from affected side
Hemothorax
Clinical Findings
Decreased breath sounds and dullness to percussion on affected side
Signs of shock
Diagnosis
CXR
Thoracic ultra sound
Treatment
Tube thoracostomy (Chest Tube)