![]() ![]() If a patient doesn't have JVD, does this mean they don't have a tension pneumo or tamponade? Percussion - hyperresonant with pnuemo, dull with hemothorax. Into the 2nd intercostal space in the midclavicular line of the affected hemithorax.įor an open pneumothorax, (sucking chest wound) air passes preferentially through the chest wall defect (least resistance) if the diameter of the defect is at least _ the diameter of the trachea.įlail chest results from multiple rib fractures - by definition this would be _ or more ribs, fractured in _ or more places.Ģ or more ribs fractured in 2 or more placesīoth tension pneumothorax and massive hemothorax are associated with decreased breath sounds on auscultation, so you can tell which it is by _. Where would you insert a large caliber needle to decompress a tension pnuemothorax? This may NOT be a pneumothorax, for intubated patients always suspect a right main-stem before attempting needle decompression. Make a 2.5 cm transverse incision through the skin and SQ tissue, careful not to injure the vessel.Ī patient arrives to the trauma bay intubated and there are absent breath sounds over the left hemithorax, where should you place your decompression needle? The saphenous vein can be accessed approximately 1 cm anterior and 1 cm superior to the medial malleolus. Where do you want to make an incision for a saphenous vein cutdown and how long should your incision be? Intraosseous infusion should be limited to emergency resuscitation and shoudl be discontinued as soon as other venous access is obtained. SUPINE, head down 15 degrees to distend neck veins and prevent embolism, only turn head away if C-SPINE HAS BEEN CLEARED FIRST. d.How should you position the patient before placing a subclavian or IJ line?.Heat packs should be applied to the patient’s axilla, neck, and groin to prevent hypothermia The patient should be cooled to 89.60 F to 93.20 F (320 C to 340 C) for 12 to 24 hours The patient’s baseline temperature should be obtained and warming measures should be started until the patient’s temperature reaches 1010 F ![]() Which of the following should be done at this time? His blood pressure is 104/70, respirations 12/min. ![]() The patient responds to a painful stimulus but does not respond to verbal stimuli. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. While taking the patient’s history and vital signs, he experienced a cardiac arrest. When they arrived at the patient’s home, the patient was complaining of a severe chest pain. Paramedics arrive in the emergency department with a 40-year-old man. ![]()
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