TNS - Thoracic Trauma Questions with Complete Solutions what immediate life-threats must be found during the "B" phase of the primary survey? (3) - Correct Answers ✅(1) tension pneumothorax (2) open pneumothorax (3) flail chest what are s/s that suggest a tension pneumothorax? (7) - Correct Answers ✅severe pleuritic chest pain restlessness/agitation dyspnea/tachypnea JVD absent/decreased breath sounds tracheal deviation (late sign) cyanosis (late sign) what equipment must be prepared if a physician is going to perform a needle decompression? (3) - Correct Answers ✅(1) chlorhexidine to clean (2) 10-12 gauge 3 inch long catheter (3) chest tube supplies what is the preferred landmark on the chest when performing a needle decompression? - Correct Answers ✅2nd-3rd intercostal space (ICS) in the midclavicular line 1 / 2
TNS - Thoracic Trauma Questions with Complete Solutions 4th-5th ICS slightly anterior to midaxillary line where is the preferred placement of a chest tube? - Correct Answers ✅4th-5th ICS in triangle of safety between midaxillary and anterior axillary lines what should a TNS monitor with respect to chest tube drainage device? (3) - Correct Answers ✅(1) normal tidaling VS absence of oscillations VS bubbling (air leak) (2) amount/nature of drainage (3) ensure it is not clamped for long periods of time - may cause tension pneumo what clinical s/s should a TNS monitor following chest tube insertion? - Correct Answers ✅monitor for hypoxia, respiratory distress, hypotension DOPE - displacement, obstruction, pneumo, equipment failure FOCA - fluctuation of water seal, output, color or drainage, air leak what is the mechanism of death from an open pneumothorax? - Correct Answers ✅patient dies from impaired gas exchange leading to profound hypoxia
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