Chest trauma.ppt

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Chest trauma :

Chest trauma Conducted by: Ms.Monika Clinical instructor Army college of nursing

Introduction :

Free template from www.brainybetty.com 2 Introduction The chest is a large ,exposed portion of the body that is vulnerable to impact injuries. The chest houses the heart ,lung & great vessels. So chest trauma frequently produces life threatening disruptions. Injury to the thoracic cage & its content can restrict the heart's ability to pump the blood & the lungs ability to exchange air & oxygenate blood.

Management :

Free template from www.brainybetty.com 3 Management Initial management should focus on: Airway patency Ventilation Hemorrhage control Stabilization of thoracic fracture Immobilization of the spinal column

Assessment of client with chest trauma :

Free template from www.brainybetty.com 4 Assessment of client with chest trauma ASSESS “ABCs” Maintain airway ,breathing &circulation. Ensure adequate air movement. 2) OBTAIN A QUICK HISTORY What happened ? How long ago did it happen? Where is pain? Does it radiate What does the pain feel like? How severe is the pain on a scale of 1 to 10? Is there a significant medical history

3) Perform a quick 1 min assessment for::

Free template from www.brainybetty.com 5 3) Perform a quick 1 min assessment for: Shortness of breathe Vital signs Skin color & temperature Wound size & location Paradoxical chest movement Tracheal deviation Use of accessory muscles Heart sounds dysrhythmias

4) Quickly intervene :

Free template from www.brainybetty.com 6 4) Quickly intervene Administer oxygen Cover any open chest wound Control flail segment Prepare to insert chest tube Initiate a intravenous line

Therapeutic measures :

Free template from www.brainybetty.com 7 Therapeutic measures Thoracentasis Chest tube insertion Assess external bleeding carefully Intercostal nerve blocks or epidural analgesia may be used in client to manage the pain

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