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Injuries To The Chest

various injuries that occur in the chest area.
by

Tara Pincusoff

on 4 March 2011

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Transcript of Injuries To The Chest

Pneumothorax pneumothorax, is the collection of air in the space around the lungs. This buildup of air puts pressure on the lung, so it cannot expand as much as it normally does when you take a breath Clavical Pneumothorax
(collapsed lung) Symptoms What can Cause Pneumothorax Direct blows to the chest In some cases, a collapsed lung occurs without any cause Certain activities may lead to a collapsed lung.
•Chest tightness

•Easy fatigue

•Rapid heart rate

•Bluish color of the skin caused by lack of oxygen Signs and Tests There are decreased or no breath sounds on the affected side when heard through a stethoscope.

Tests include:

•Chest x-ray to tell whether there is air outside the lung

•Arterial blood gases
What is it Treatment small pneumothorax may go away on its own. You may only need oxygen and rest. The health care provider may use a needle to pull the extra air out from around the lung so it can expand more fully. a large pneumothorax, a chest tube will be placed between the ribs into the space around the lungs to help drain the air and allows the lung to re-expand.

Hyperventalation hyperventilation syndrome is a condition in which minute ventilation exceeds metabolic demands, resulting in hemodynamic and chemical changes that produce characteristic dysphoric symptoms. The cause or causes of hyperventilation syndrome are a multitude of things, such as panic attacks, nervousness.
what is it? causes Symptoms Hyperventallation usually in younger people usually
they improve common misconception is that heart medication
DOES NOT improve this condition

Chest pains or tenderness
◦Shortness of breath
◦Wheezing Tests administered. blood
Arterial Blood
chest x-ray
Ventilation/perfusion scan
Chest CT scan
ECG (heart tracing)




Treatment A doctor will make you
follow up with a pshychiatrist
or primary care certain medications may be ordered.
If your condition gets worse after visiting the emergency
department, you should return for a recheck Hemothorax What is it? Hemothorax is a collection of blood in the space between
the chest wall and the lung (the pleural cavity).
What causes this? The most common cause of hemothorax is chest trauma. It can also occur in patients who have:
•A defect of blood clotting
•Death of lung tissue (pulmonary infarction)
•Lung or pleural cancer
•Placement of a central venous catheter
•Thoracic or heart surgery
•Tuberculosis

Symptoms •Anxiety
•Chest pain
•Low blood pressure
•Pale, cool and clammy skin
•Rapid heart rate
•Rapid, shallow breathing
•Restlessness
•Shortness of breath signs and tests Your doctor may note decreased or absent breath sounds on the affected side. Signs of hemothorax may be seen on the following tests:
•Chest x-ray
•CT scan
•Pleural fluid analysis
•Thoracentesis

Treatments The goal of treatment is to get the patient stable,
stop the bleeding, and remove the blood and air in the pleural space.
A chest tube is inserted through the chest wall to drain the blood and air. It is left in place for several days to re-expand the lung.
When a hemothorax is severe and a
chest tube alone does not control the bleeding,
surgery (thoracotomy) may be needed to stop the bleeding.
Flail Chest
what is it? When enough ribs are broken (usually from a crush injury)
to compromise the rigidity of the chest wall. On inspiration,
the chest wall moves inward instead of outward and the
opposite on expiration

Causes Flail chest is almost always linked to severe blunt trauma,
such as a serious fall or car accident, in terms of cause.
But it can develop as a result of less severe impacts.
There are cases of flail chest occurring as a result
of bone disease or deterioration in older patients,
but these are very rare

Symptoms at least three ribs close together broken in two or more places can be confirmed only by taking an x-ray. But all other significant symptoms can be observed through as simple physical exam.The most telling symptom is
paradoxicalmovement of a portion of the chest wall
Bruises, grazes, and/or discoloration in the chest area
Telltale markings from a seat belt
Chest pain
Difficulty drawing breath Tests x-ray
CT scans Treatment Medical Therapy
Surgical Therapy
Analgesia (rib therapy)
Intubation & Ventilation
Chest tube insertion



Side Stitches What is it? They are spasms of intercostal
muscles what causes it? stretch the affected side
while having an athletic
trainer raised arm on
the involved side over
the head. Symptoms Cramp like pains in either the right
or left side of the body. Treatment stretch the affected side
while having an athletic
trainer raised arm on
the involved side over
the head. Follow up if the symptoms continue send athlere to further evaluation. Injuries to the chest
By: Tara Pincusoff
kayla bruce
jackson mcallister
madicyn bernard
dylan cox
Full transcript