2024 ATLS - Thoracic Trauma Guaranteed A+ Study Guide | Actual Questions and Answers, Complete 100%
- Because is the most serious consequence of chest injury, the goal of
early intervention is to prevent or correct .
Answer: hypoxia
- Most life-threatening thoracic injuries can be treated with
Answer: airway control or decompression of the chest with a needle, finger, or tube.
- dislocation of the clavicular head occasionally leads to airway
obstruction.
Answer: Posterior
- Injury to the trachea or a major bronchus is an unusual but potentially fatal
condition. The majority of tracheobronchial tree injuries occur within 1 inch (2.54 cm) of the .
Answer: carina
- Incomplete expansion of the lung and continued large air leak after placement of
a chest tube suggests a injury and placement of more than one chest tube may be necessary to overcome the significant air leak.
Answer: tracheobronchial
- confirms the diagnosis of tracheobronchial injury . If tracheobronchial
injury is suspected, obtain immediate surgical consultation.
Answer: Bron choscopy
- Intubation of patients with tracheobronchial injuries is frequently difficult
because of anatomic distortion from paratracheal hematoma, associated oropharyngeal injuries, and/or the tracheobronchial injury itself. Advanced airway skills, such as endotracheal tube placement past the tear site or selective intubation of the unaffected bronchus, may be required.
Answer: - fiber-optically assisted
- Tension pneumothorax, (sucking chest wound), and massive
hemo thorax are the major thoracic injuries that affect breathing.
Answer: open pneumothorax
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- develops when a "one-way valve" air leak occurs from the lung or
through the chest wall. Air is forced into the pleural space with no means of escape, eventually collapsing the affected lung.
Answer: Tension pneumothorax
- In tension pneumo the mediastinum is displaced to the side, de-
creasing venous return and compressing the lung.
Answer: opposite
- Shock from a tension pneumothorax (often classified as shock) results
from marked decrease in venous return, causing a reduction in cardiac output
Answer: obstructive
- The most common cause of tension pneumothorax is
Answer: mechanical positive-pressure ventilation in patients with visceral pleural injury.
- Tension pneumothorax also can complicate a simple pneumothorax following
penetrating or blunt chest trauma in which a parenchymal lung injury fails to seal, or after attempted insertion
Answer: subclavian or internal jugular venous catheter
- Tension pneumothorax is a clinical diagnosis reflecting air under pressure in the
affected space. Do not delay treatment to obtain radiologic confirmation.
Answer: pleural
- Patients who are spontaneously breathing often manifest extreme tachypnea and
air hunger, whereas patients who are mechanically ventilated manifest
Answer: hemodynamic collapse
- Tension pneumothorax have Tracheal deviation from
the side of the injury
Answer: away
- A hyperresonant note on percussion, deviated trachea, distended neck veins, and
absent breath sounds are signs of
Answer: tension pneumothorax
- When ultrasound is available, tension pneumothorax can be diagnosed using an
extended
Answer: FAST (eFAST) examination.
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