![]() Permanent cavity: wound tract of object where tissue has been lacerated and crushed.Types of Shock waves → 3 areas of tissue damage: The different types of shock are based on the underlying cause: distributive (↑ cardiac output (CO), ↓ systemic vascular resistance (SVR)), cardiogenic (↓ CO, ↑ SVR), hypovolemic (↓ CO, ↑ SVR), obstructive (↓ CO), and mixed. High-velocity penetration Penetration X-rays has ↑ kinetic energy → shock Shock Shock is a life-threatening condition associated with impaired circulation that results in tissue hypoxia.Shape and diameter (impact surface area).Velocity and mass Mass Three-dimensional lesion that occupies a space within the breast Imaging of the Breast (energy).Penetrating object’s ability to produce tissue damage is dependent on the following: Includes GSWs from rifles, military weapons, and improvised explosive devices (IEDs).Generates both permanent and temporary cavities → results in damage beyond direct contact of projectile and tissue.15%–30% of PCIs require surgery, as opposed to 650 m/sec.9% of all trauma-related deaths are from injuries to the chest → 33% are penetrating trauma.GSWs are the 2nd-leading cause of death for youth in the United States.20% of all major trauma in the United States is from gunshot wounds (GSWs) and stabbings.Blunt Chest Trauma but with ↑ mortality Mortality All deaths reported in a given population. Different structures can be injured including the chest wall (ribs, sternum), lungs, heart, major blood vessels, and the esophagus. Thoracic traumatic injuries are classified according to the mechanism of injury as blunt or penetrating injuries. Less common than blunt chest trauma Blunt chest trauma Blunt chest trauma is a non-penetrating traumatic injury to the thoracic cavity.Peritonsillar Abscess and inferiorly by the lower costal margin. Chest Wall: Anatomy in an area bordered superiorly by the lower neck Neck The part of a human or animal body connecting the head to the rest of the body. The chest wall serves as armor for the vital intrathoracic organs and provides the stability necessary for the movement of the shoulders and arms. The bony structure of the chest wall is composed of the ribs, sternum, and thoracic vertebrae. ![]() Thoracic Surgery, although surgical repair of injuries may be needed.Ī penetrating chest injury Chest Injury Pediatric Chest Abnormalities (PCI) can be defined as any trauma that violates the chest wall Chest wall The chest wall consists of skin, fat, muscles, bones, and cartilage. The majority of PCIs do not require major surgery and can be managed by observation or tube thoracostomy Tube Thoracostomy Surgical procedure involving the creation of an opening (stoma) into the chest cavity for drainage used in the treatment of pleural effusion pneumothorax hemothorax and empyema. ![]() Performing the standardized trauma evaluation (primary and secondary surveys), as well as ordering proper imaging, is critical to determining the diagnosis and aiding in management decisions. ![]() Measures of Health Status rate than blunt chest injuries but are less common. Penetrating chest injuries have a higher mortality Mortality All deaths reported in a given population. Penetrating chest injuries can be high velocity, such as with gunshot wounds (GSWs) medium velocity, such as with pellet gunshots or low velocity, such as with stab wounds Stab wounds Penetrating wounds caused by a pointed object. Penetrating chest injuries (PCIs) are caused by an object puncturing the chest wall Chest wall The chest wall consists of skin, fat, muscles, bones, and cartilage. Students: Educators’ Pro Tips for Tough Topics.Licensed Practical Nurse (LPN) Students.Maternity Nursing and Care of the Childbearing Family.Diversity, Equity, Inclusion, and Belonging. ![]()
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