Stab wound chest tightness treatment plan

1.Cause of low BP at arrival? ,[object Object],[object Object],[object Object],[object Object]

2.What cause of progressive chest tightness ,[object Object],[object Object],[object Object]

Assessment Massive hemothorax Tension pneumothorax Cardiac tamponade Hx Parenchymal : Blunt Another : penetrate M/c : Blunt M/c : Penetrate Pulse Rapid Rapid Rapid Blood pressure Low Low Low Pulsus paradoxus No Yes Possibly Heart sounds Audible Audible Muffled Neck vein Flat Distended Distended Percussion Dull Hyperresonance Normal Trachea Midline/deviated Deviated Midline Chest symmetry Normal/Asymmetry Asymmetrical Normal Breath sounds Absent/rhonchi/rales Absent Present Investigation Thoracentesis : if non massive should CXR Thoracentesis Fast

3.Hemothorax , pneumothorax , hemopericarium ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

4.If you have detected fresh blood from the left chest, what would your next action ? ,[object Object],[object Object],[object Object]

5. If you put in a chest tube in and fresh blood came out about 800 cc, what is your plan? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

6. If you put in a chest tube in and fresh blood came out more than 2000cc and there was no detecable vital signs after that, what is your response to this situation? ,[object Object]

Thoracotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Stab wound chest tightness treatment plan

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Stab wound chest tightness treatment plan