Chest Trauma

2. Tension pneumothorax can lead to subcutaneous emphysema, or "sub-Q air," causing a Rice-crispies-like "crackling" sensation of the skin, also known as _____.
8. To treat a sucking chest wound, cover the wound with a gloved hand to _____ the opening. Next, cover the wound with an occlusive dressing.
12. To assess the chest, look, _____, and palpate.
13. "_____" the patient's clavicles with your fingertip because a displaced clavicle fracture may cause a pneumothorax.
14. Patients who have a serious chest injury will benefit from being placed in a head-_____ position in a toboggan.
15. Taping an occlusive dressing on _____ sides prevents air intake through the wound during inspiration which will allow pressurized air within the chest cavity to escape.
16. Any chest injury associated with respiratory distress or hypotension is a "____-_____-_____" situation: Correct any life-threatening conditions, provide oxygen, immobilize the spine if necessary, and rapidly evacuate the patient wo a definitive-care facility.
17. _____ the entire chest, axillary regions and upper back for tenderness and deformity.
19. The ___ triad - distended neck veins, muffled heart sounds, and a pulsus paradoxus - is a classic sign of pericardial tamponade.

1. Patients who have suffered _____ _____ will present in cardiac arrest and must be treated with CPR and defibrillation.
3. Narrowing of the _____ pressure may indicate the presence of pericardial tamponade.
4. Management of serious chest injury involves rapid care for ABCDs, supporting ventilation with bag-valve mask if needed, high-flow oxygen at 15 LPM via a _____ mask, use of an occlusive dressing on chest wounds, spinal motion restriction if indicated, call for ALS, rapid transport, and possible air medical transport.
5. _____ vital signs are essential in suspected chest trauma because changes may be subtle and could indicate internal bleeding and decompensated shock.
6. Classic signs and symptoms of a tension _____ are dyspnea, tachycardia, low BP, distended neck veins (jugular venous distention), and cyanosis.
7. When a _____ is suspected, correct the ABCDs, provide high-flow oxygen, monitor oxygen saturation levels, and call for transport with ALS.
9. Splint _____ segments above and below the fractured section in the same manner as for an isolated rib fracture.
10. Do not splint around the chest when there is a rib _____, as doing so will impair breathing.
11. To perform a LAP exam, inspect the chest, upper back, and armpits for trauma using the _____ acronym.
18. _____ for contusions, deformity, and potentially serious injuries such as a sucking chest wound.