Thoracic and Abdominal Injuries
MOI
Important parts of throacic and abdominal cavities.
Ye ole Pt. Assesment
spine, brain, nervous system
General review so far
100

a life threatening medical emergency that occurs when air enters the pleural space between the lunch and chest wall.  Hint--jugular vein distension is a late sign.

tension pneumothroax

100

Type of injury that occurs when the body is struck by an object without breaking the skin?

Blunt force

100

This muscular organ is located between the lungs and is responsible for pumping blood.

Heart

100

This is the first step that an OEC tech performs upon arriving to an emergency. 

scene size up/ scene safe

100

the medical term for a temporary disruption of normal brain function following a blow or jolt to the head.

concussion

100

what is the medical term for the body's ability to maintain a stable internal environment?

homeostasis

200

this condition occurs when air enters the pleural space causing the lung to partially collapse. 

pneumothorax

200

Type of injury that occurs when an object passes through the skin and enters the body or body cavitiy

penetrating

200

Which lung has three lobes. 

Right..


Bonus-- why does the left side only have 2?

200

Once scene if safe and PPE is established- As an OEC tech what is the first things the OCE tech should establish or look at. 

ABCD


What do these letters stand for?

200

a pt. falls when skiing and experiences neck pain, numbness and tingling in both arms. These symptoms may indicate an injury to this structure of the body. 

spinal column.

200

What is the normal resting respiratory rate for an adult? per minute

12-20 breaths per min. 

300

this injury occurs when multiple adjacent rids are fractured in a least two places. 

flail chest

300

type of injury that occurs when the chest or abdomen is squeezed between two objects potentially damaging organs. 

compression

300

this structure separates the thoracic cavity form the abdominal cavity. 

diaphram

300

What does the acronym OPQRST stand for. 

  • O — Onset: What the patient was doing when the symptoms or pain started, and whether it began suddenly or gradually.
  • P — Provocation / Palliation: What makes the pain or symptom better or worse (such as movement, rest, or breathing).
    Q — Quality: How the patient describes the sensation (such as sharp, dull, crushing, burning, or throbbing).
  • R — Region / Radiation: Where the pain is located on the body, and whether it moves or spreads to other
  •  S — Severity: How bad the pain is, typically rated on a scale from 0 to 10 (with 0 being no pain and 10 being the worst pain imaginable).
  • T — Time: How long the pain or symptom has lasted, and whether it has changed since it first started. [1, 2, 3, 4, 5, 6, 7]


300

a pt. suffers a spinal chord injury and develops low blood pressure, slow heart rate, warm dry skin. What type of shock may be present?

Neurogenic

300

what is the medical term for inadequate Oxygen reaching the body tissues?

Hypoxia

400

a pt. has a tree branch impaled in the chest after an accident. As an OEC provider that should you do to the impaled object?

leave it in place, stabilize and prepare for transport

400
type of injury that occurs when a moving body suddenly stops, causing internal organs to continue moving and potentially tearing away from their attachements. 

deceleration

400

This is the largest solid organ in the abdomen. it is located in the URQ and is very vascular-- making is susceptible to serious bleeding if injured. 

liver

400

this step is performed after life-threatening conditions have been identified and addressed. 

secondary assessment. 

400

A pt. suffers a head injury and has unequal pupils. This finding is concerning b/c it may indicate what?

internal bleeding or pressure building up in the cranial cavity. 

400

What are the two main techniques for opening away?

jaw thrust and

head tilt chin lift

500

a pt. suffers a hard impact to the abdomen,, they become pale, sweaty, week and tachy pulse. These findings you should make you suspect the pt. is facing this life threatening complication. 

shock--specifically hypovelemic shock.

500

A skier crashes into a tree and suffers broken ribs- the skin remains intact. 

What type of injury is this?

Blunt or blunt force trauma

500

This organ is located in the LUQ and filters blood. A rupture or severe injury can cause a life threatening internal bleeding. 

Spleen


bonus- how much blood does the spleen hold. 1 cup of blood or .5 pint. 

500

What do the letters 

S-A-M-P-L-E mean

signs-symptoms

allergies

medications

past history

last intake

events leading up 

500

a pt. has a serious head injury and develops a slow heart rate, irregular respirations and widening-pulse pressure. This trio  is known as what?

Cushings Triad.

500

Who is considered the founder of the NSP?

Morgan told us to remember this one. 

Minnie Dole

600

what piece of equipment can an OEC tech. use to stabilize a suspected pelvic fracture?

pelvic binder

600

What type of injury is it called when there is a flap of skin?

avulsion

600

what are the top two chambers of the heart called?

Atria or atrium.  L and R

600

Below what percentage should giving O2 be a priority?

below 94%

600

what is the name of the cavity that protects the brain. 

Cranial cavity. 

600

This common clinical acronym, often documented in physical and ophthalmic exams, indicates that both pupils are uniform in size and respond normally to illumination.

PERRL stands for Pupils Equal, Round, Reactive to Light.

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