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Focused assessment with sonography in trauma (commonly abbreviated as FAST) is a rapid bedside ultrasound examination performed by surgeons, emergency physicians, and paramedics as a screening test for blood around the heart (pericardial effusion) or abdominal organs (hemoperitoneum) after trauma.
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 in the initial stages. Other findings may include quieter breath sounds on one side of the chest, low oxygen levels and blood pressure , and displacement of the trachea away ...
Obstructive shock is one of the four types of shock, caused by a physical obstruction in the flow of blood. [1] Obstruction can occur at the level of the great vessels or the heart itself. [ 2 ] Causes include pulmonary embolism , cardiac tamponade , and tension pneumothorax . [ 3 ]
Rapid breathing helps the patient compensate for the decrease in blood pH by increasing the amount of exhaled carbon dioxide, which helps prevent further acid accumulation in the blood. [11] Cheyne–Stokes respiration is a breathing pattern consisting of alternating periods of rapid and slow breathing, which may result from a brain stem injury ...
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
Physical exam findings often found in patients with respiratory failure include findings indicative of impaired oxygenation (low blood oxygen level). These include, but are not limited to, the following: Accessory muscle use in breathing or other signs of respiratory distress [6] Altered mental status (eg. confusion, lethargy) [6]
Tympanitic, drum-like sounds heard over air filled structures during the abdominal examination. [4] Hyperresonant (pneumothorax), said to sound similar to percussion of puffed up cheeks. Normal resonance/ Resonant, the sound produced by percussing a normal chest. Impaired resonance (mass, consolidation) lower than normal percussion sounds.
If the child has a pulse but isn't breathing, provide ventilation and give oxygen (when possible). Once it has been established that the child has a pulse, is breathing, and doesn't require immediate life saving treatment, the provider will begin their primary assessment followed by a secondary assessment and further diagnostic workup.