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Chest Injuries. Types Injuries to chest wall Injuries to lungs Check ABC’s Conscious: sit up or place with injured side towards the ground (to ease breathing). Injuries To Chest Wall: Rib Fractures. Painful to move, cough, breathe Point tenderness Do not wrap (restricts breathing)

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Chest Injuries


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Presentation Transcript
chest injuries
Chest Injuries
  • Types
    • Injuries to chest wall
    • Injuries to lungs
  • Check ABC’s
  • Conscious: sit up or place with injured side towards the ground (to ease breathing)
injuries to chest wall rib fractures
Injuries To Chest Wall: Rib Fractures
  • Painful to move, cough, breathe
  • Point tenderness
  • Do not wrap (restricts breathing)
  • Stabilize (Use pillow or tie arm)
  • Encourage deep breathing
  • Seek medical attention?
injuries to chest wall flail chest
Injuries To Chest Wall: Flail Chest
  • Major injury
  • Several ribs in the same area are broken in more than one place
  • Chest wall may move in opposite direction from the rest of the chest
  • Stabilize with:
    • Pillow
    • Hand
  • Place with injured side towards the ground (remember to treat for shock)
  • Monitor ABC’s and seek medical attention
injuries to lungs
Injuries To Lungs
  • Hemothorax
    • Blood fills chest, lungs can’t expand
  • Pneumothorax –air fills chest cavity
  • Open pneumothorax (sucking chest wound)
    • Air moves in and out of chest cavity
    • Lungs can’t expand
  • Tension pneumothorax – air is pulled in, can’t exit
sucking chest wound
Sucking Chest Wound
  • Seek medical attention
  • Sealwound to stop air from entering (saran wrap, etc.)
    • Tape in place (leave one corner untaped)
    • (May use gloved hand)
  • Victim having trouble or getting worse?
    • Remove, allow air to escape, then reapply
severe blow to abdomen
Severe Blow To Abdomen
  • Place on side
  • Expect vomiting
  • No foods or liquids
  • Seek medical attention
protruding organs
Protruding Organs
  • Do not re-insert
  • Cover loosely with moist, sterile dressing or clean cloth
    • Best to wait for EMS (saline solution)
  • Cover area with a towel or blanket
  • Seek medical attention
pelvic injuries
Pelvic Injuries
  • Accompanied by:
    • Pain
    • Shock
    • Internal bleeding
    • Inability to use lower extremities
      • Damage to bladder and other organs
determining pelvic injuries
Determining Pelvic Injuries
  • Gently press downward and inward at iliac crest
    • Do not press if pain is already present
  • Pain may indicate broken pelvis
    • (suspect spinal cord injury)
pelvic injuries what to do
Pelvic Injuries: What To Do
  • Treat for shock
  • Pad between thighs
  • Tie knees and ankles together
  • Keep on firm surface
  • Seek medical attention