Chapter 29 Chest Injuries EMT School

The body's ability to move air in and out of the lungs is called _______.

The esophagus, trachea, and great vessels reside in the _______.

Hemoptysis indicates damage to the _______.

The pliability of the pediatric rib cage _______.

Distended jugular veins, narrowing pulse pressure, and muffled heart tones are collectively known as _______.

Paradoxical motion is a sign of a _______.

Immediate death from blunt chest trauma following a motor vehicle crash is MOST often the result of:

Common signs and symptoms of a chest injury include all of the following, EXCEPT:

Following blunt trauma to the chest, an 18-year-old female presents with respiratory distress, shallow breathing, and cyanosis. Her blood pressure is 80/50 mm Hg and her pulse is 130 beats/min and thready. You should:

Pneumothorax is defined as:

You are transporting a stable patient with a possible pneumothorax. The patient is receiving high-flow oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing this patient's deterioration?

Signs and symptoms of a tension pneumothorax include all of the following, EXCEPT:

The treatment for relieving a tension pneumothorax involves:

When assessing a patient with a hemothorax, you will MOST likely find:

Patients with rib fractures will commonly:

A rapid, irregular pulse following blunt trauma to the chest is MOST suggestive of a:

A 19-year-old male is unresponsive, apneic, and pulseless after being struck in the center of the chest with a softball. Based on the mechanism of injury, what MOST likely occurred?

A patient with a chest injury has a blood pressure of 100/60 mm Hg and a pulse rate of 120 beats/min. Which of the following additional findings should make you suspect a pericardial tamponade?

If a person's tidal volume decreases, but his or her respiratory rate remains unchanged:

Irritation or damage to the pleural surfaces that causes sharp chest pain during inhalation is called:

A 28-year-old male was struck in the chest with a baseball bat during an altercation. He is conscious and alert and complains of severe chest pain. Your assessment reveals a large area of ecchymosis over the sternum and a rapid, irregular pulse. In addition to providing supplemental oxygen, you should:

A flail chest occurs when:

A man called EMS 12 hours after injuring his chest. Your assessment reveals a flail segment to the right side of the chest. The patient is experiencing respiratory distress and his oxygen saturation is 78%. His breath sounds are equal bilaterally and his jugular veins are normal. You should suspect:

A simple pneumothorax:

A spinal cord injury at the level of C7 would MOST likely result in:

An open pneumothorax occurs when:

Children are often "belly breathers" because _______.

Closed chest injuries are typically caused by _______.

Following a stab wound to the left anterior chest, a 25-year-old male presents with a decreased level of consciousness and signs of shock. Which of the following additional assessment findings should increase your index of suspicion for a cardiac tamponade?

If a patient with a chest injury is only able to inhale small amounts of air per breath, he or she:

Immediately life-threatening chest injuries must be found and managed during the _______.

In order to avoid exacerbating a patient's injury, it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a:

Patients with chest injuries will often present with _______.

The thoracic cavity is separated from the abdominal cavity by the:

When a person is lying supine at the end of exhalation, the diaphragm:

Which of the following is most likely to cause immediate death?

While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished breath sounds over the left side of the chest. You should:

You arrive at the scene of a major motor vehicle crash. The patient, a 50-year-old female, was removed from her vehicle prior to your arrival. Bystanders who removed her state that she was not wearing a seatbelt. The patient is unresponsive, tachycardic, and diaphoretic. Your assessment reveals bilaterally clear and equal breath sounds, a midline trachea, and collapsed jugular veins. You should be MOST suspicious that this patient has experienced a:

You have sealed the open chest wound of a 40-year-old male who was stabbed in the anterior chest. Your reassessment reveals that he is experiencing increasing respiratory distress and tachycardia, and is developing cyanosis. You should:

You respond to a residence for a 40-year-old female who was assaulted by her husband; the scene has been secured by law enforcement. Upon your arrival, you find the patient lying supine on the floor in the kitchen. She is semiconscious with severely labored breathing. Further assessment reveals a large bruise to the left anterior chest, jugular venous distention, and unilaterally absent breath sounds. As your partner is supporting her ventilations, you should:

closed chest injury

open chest injury

Tachypnea

crepitus

paradoxical motion

occlusive dressing

________ in a patient with a chest injury is a sign that the blood is not being oxygenated sufficiently.

pneumothorax

open pneumothorax

sucking chest wound

flutter valve

spontaneous pneumothorax

simple pneumothorax

tension pneumothorax

hemothorax

hemopneumothorax

cardiac tamponade (pericardial tamponade)

pericardium

flail chest

pulmonary contusion

traumatic asphyxia

Myocardial Contusion

Commotio cordis

What is ventilation?

When a patient sustains a spinal cord injury above the C3 region, which of the following is likely to happen?

You are assessing a patient who sustained a blunt force chest injury during a motorcycle accident. There are no obvious signs of external bleeding, but the patient is hypovolemic and there are decreased breath sounds on the left side. Which of the following should you suspect?

Two most common injuries caused by penetrating chest trauma?

What is the best position in which to place a patient when you want to assess for jugular vein distention?

You are assessing a patient and notice he has a collapsed jugular vein. What does this indicate?

You are treating a patient who fell hard on her right side when she fell off a bike. Exposure of the patient's chest reveals a large bruise on the lateral aspect of the right side of the chest. When you palpate the area, the patient yells out in extreme pain and states that she cannot take a deep breath. What condition should you suspect?

Which of the following blood vessels can be lacerated by a fractured rib?

In which condition is it recommended you use positive-pressure ventilation?