Signs and Symptoms
Thorax muscle guarding and pinpoint pain are signs and symptoms of what?
rib fractures
GERD, exercise, and exposure to triggers are examples of risk factors for what?
Asthma
Once breathing stops, how long does the brain have before brain damage is POSSIBLE?
Bonus: How long until brain damage is LIKELY? and how long until brain damage is CERTAIN & IRREVERSIBLE?
4-6 minutes
Bonus: 6-10 minutes and 10+ minutes
When would you administer supplemental oxygen?
patients experiencing respiratory distress, CO poisoning, smoke inhalation
Which condition is a blockage in a vessel of the lungs commonly caused by a thrombus?
pulmonary embolism
What are 3 signs/symptoms of a pulmonary embolism?
sudden dyspnea & chest pain
tachycardia
hemoptysis
hypoxia
cyanosis
hypotension
Men under 30 years old and participants in high velocity activities are at risk for what injury?
sternoclavicular injury
True or False: Blunt trauma results in a force being focused in 1 area whereas penetrating trauma results in a force being distributed over a large area
False
Which oxygen delivery device gives ~100% oxygen?
Bonus: what flow rate do you use?
BVM
Bonus: 15+ LPM
When classifying sternoclavicular (SC) injuries, which dislocations are less common but more dangerous?
posterior
If a patient has chest congestion, changes in their mental status and is unwilling to lie supine, what are they most lilely experiencing?
Asthma
Name 3 risk factors for developing a pulmonary embolism.
coagulation disorders
oral contraceptives
pregnancy
immobilization
surgery
extended travel time (+4 hours)
Where is the only bony articulation of the upper extremity with the axial skeleton?
The SC joint
What airway would you youse for an unconscious patient who recently has a dislocated jaw and has no gag reflex.
NPA
What type of respiratory sounds occur when air moves freely through the large passageways of the lungs and are heard over the anterior chest in the trachea and bronchi?
bronchial sounds
Dyspnea, Dysphagia, Hoarsness, and Unwillingness to move affected side are all signs/symptoms of an injury to what?
Sternoclavicular joint
What are the 3 risk factors for a pneumo and/or hemothorax?
trauma to chest
previous pneumothorax
tall/thin body type (esp male)
What are vesicular sounds?
lower pitched; out further away from bronchial sounds
What pressure do you set a mechanical suction to for an adult, child, and infant?
300 mmHg
150 mmHg
100 mmHg
List two (2) critical components of an effective asthma emergency action plan for athletes with known asthma.
1- recognition of worsening asthma symptoms
2 - when to take/how much medicine to take
3- list of hcp contact information - dr who prescribed inhaler/ deals with the patients asthma, local hospitals, emergency contacts, etc
What is most likely the diagnosis of someone who is experiencing paradoxical breathing and has crepitus among palpation of the ribs?
Flail Chest
What are the 2 risk factors for rib fractures?
collision sports
improper equipment
Your patient is a 5 year old boy who was left in a running car inside the garage. You took his initial vitals and his SpO2 was 88%. You decided to put him on a non-rebreather mask at a flow rate of 15LPM. 15 minutes go by and his SPO2 is now at 99%.. what do you do next?
Keep him on O2 since he likely had experienced CO poisoning.
Why are retroglottic devices considered better than supraglottic devices?
retroglottic devices deliver higher quality ventilations by preventing the air from entering the stomach
When evaluating a soccer player with a suspected rib fracture, you notice that the athlete is in respiratory distress. Which of the following is the most appropriate plan of action?
Transport the athlete to the emergency department immediately