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Diagnosis requires a thorough history, physical exam, and additional tests. One must also consider the possibility of multiple types of shock being present. For example, a trauma patient may be hypovolemic from blood loss. This patient could also have tension pneumothorax due to trauma to the chest. [22]
Usage of the flutter valve presents potential problems such as clogging of the chest tube, which might provoke the recurrence of the pneumothorax or the subcutaneous emphysema, which can lead to empyema. Another potential problem leaks of fluid, which are resolved with a small chest-drain; or with a sputum-trap attached to the valve, to ...
The aim is to identify and manage six life-threatening thoracic conditions as Airway Obstruction, Tension Pneumothorax, Massive Haemothorax, Open Pneumothorax, Flail chest segment with Pulmonary Contusion and Cardiac Tamponade. Flail chest, tracheal deviation, penetrating injuries and bruising can be recognized by inspection.
At all levels of care, the ABC protocol exists to remind the person delivering treatment of the importance of airway, breathing, and circulation to the maintenance of a patient's life. These three issues are paramount in any treatment, in that the loss (or loss of control of) any one of these items will rapidly lead to the patient's death.
Traumatic cardiac arrest (TCA) is a condition in which the heart has ceased to beat due to blunt or penetrating trauma, such as a stab wound to the thoracic area. [1] It is a medical emergency which will always result in death without prompt advanced medical care.
Typical triage tag used for emergency mass casualty decontamination.. A triage tag is a tool first responders and medical personnel use during a mass casualty incident.With the aid of the triage tags, the first-arriving personnel are able to effectively and efficiently distribute the limited resources and provide the necessary immediate care for the victims until more help arrives.
Hypoventilation due to traumatic brain injury or tension pneumothorax [8] Diabetic ketoacidosis; hypoventilation due to COPD, asthma, or severe pneumonia [8] P Psychogenic: Sudden emotional stimulus, i.e. terror, elation, or surprise [6] S Septic: Osteomyelitis; infections secondary to burns [9]
Basic Life Support Emergency Medical Services in the United States are generally identified with Emergency Medical Technicians-Basic (EMT-B). EMT-B is the highest level of healthcare provider that is limited to the BLS protocol; higher medical functions use some or all of the Advanced Cardiac Life Support (ACLS) protocols, in addition to BLS ...