Pediatric Advanced Life Support Certification – Quiz 07

When air accumulates between the chest wall and the lung as a result of an open chest wound or other physical defect, an open pneumothorax occurs. The bigger the opening, the more lung failure and breathing difficulties there will be.

Blood drainage >1,500 mL after closed thoracostomy and constant bleeding at 200 mL/hr for at least four hours is considered a major hemothorax. There were five patients listed, all of whom required emergency surgery.

Flail chest is a potentially fatal medical condition that occurs when a part of the rib cage fractures and separates from the rest of the chest wall due to trauma. Back pain and shortness of breath are two of the signs of a flail chest.

Tamponade of the heart is a severe medical disorder in which blood or fluids fill the gap between the heart’s sac and the heart muscle. This puts a lot of strain on your heart. The strain prevents the ventricles of the heart from completely expanding, preventing your heart from working properly.

The abdomen must always be auscultated before it is palpated to avoid hyperactive bowel sounds.

The harm that happens as a direct result of the impact is known as primary traumatic brain injury. At the time of impact, neurons, axonal sheaths, and blood vessels can be physically disrupted, resulting in permanent cell damage.

Secondary brain injury refers to secondary insults that cause further damage to central nervous system tissue, as well as adverse physiological events that may happen minutes, hours, or days after the initial injury. Hypotension, hypoxia, increased intracranial pressure, and seizures are examples of such insults. The avoidance or elimination of secondary brain damage is a major objective of head injury care.

Under difficult circumstances, emergency physicians must often conduct tracheal intubation. As with the comatose head-injured patient who needs immediate intubation, the decision to intubate may be obvious and take little thought.

The intensive care treatment of TBI patients is the foundation of their management, with special attention paid to the airway, oxygenation, and sufficient hemodynamic support to prevent secondary injuries such as hypoxia and hypotension.

Every damage to the brain, skull, or scalp is considered a head injury. A traumatic brain injury can range from a minor bump or bruise to a severe head injury. Concussions, skull fractures, and scalp wounds are all common head injuries. Depending on what caused the head injury and how serious it is, the effects and treatments differ greatly.