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It is a medical emergency and may require immediate treatment without further investigations (see Treatment section). [ 15 ] [ 16 ] The most common findings in people with tension pneumothorax are chest pain and respiratory distress, often with an increased heart rate ( tachycardia ) and rapid breathing ( tachypnea ) in the initial stages.
An occlusive dressing is an air- and water-tight trauma medical dressing used in first aid.These dressings are generally made with a waxy coating so as to provide a total seal, and as a result do not have the absorbent properties of gauze pads.
Left-sided tension pneumothorax. Note the area without lung markings which is air in the pleural space. Also note the tracheal and mediastinal shift from the patient's left to right. Causes include any obstruction of blood flow to and from the heart. There are multiple, including pulmonary embolism, cardiac tamponade, and tension pneumothorax.
Defibrillation [21] — Defibrillation is the definitive treatment step for those cases of cardiac arrest that involve a shockable rhythm, or one correctable by defibrillation (pulseless unstable ventricular tachycardia, coarse or fine ventricular fibrillation; it will not work for asystole or pulseless electrical activity)
Signs of serious chest injuries, including penetrating trauma to the chest, which can cause a sucking chest wound; flail chest; tension pneumothorax; and cardiac tamponade; Breathing problems (like airway problems, these are also rechecked during the rapid trauma assessment by listening to breath sounds with a stethoscope)
A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly).
Treatment for this condition is the same as for hemothorax and pneumothorax independently: by tube thoracostomy, the insertion of a chest drain through an incision made between the ribs, into the intercostal space. A chest tube must be inserted to drain blood and air from the pleural space so it can return to a state of negative pressure and ...
Left-sided pneumothorax (right side of image) on CT scan of the chest with chest tube in place. Medical uses of chest tube are as follows: [6] Pneumothorax: accumulation of air or gas in the pleural space; Pleural effusion: accumulation of fluid in the pleural space Chylothorax: a collection of lymph in the pleural space