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Thoracic Trauma



Subject: Thoracic Trauma Case Study, Assessment & Treatment

Target Audience: EMS, EMT, Paramedic and other health professionals

CECBEMS Course #: 08-CECB-F3-0814

Instructor: Edward R. Stapleton EMT-P

CEH: 1 Hour

Category: Advanced

Objectives:

  • At the conclusion of the session you should able to:
  • Discuss the normal anatomy and physiology in relation to:
  • Thorax, lungs, mediastinum, and airway
  • Mechanics of breathing
  • Muscles of breathing
  • Protection of the chest wall
  • Concept of relative negative pressure
  • List the signs, symptoms and treatment of the following types of injuries:
    • Pneumothorax and tension pneumothorax
    • Hemothorax
    • Rib fractures
    • Flail chest
    • Traumatic asphyxia
    • Cardiac contusion
    • Pericardial tamponade
    • Aortic tears


    00:00:01 Thoracic Trauma
    00:00:58 Objectives
    00:01:40 Chest Trauma
    00:06:16 Negative Pressure
    00:12:44 Mechanism of Injury
    00:14:30 Common Blunt Injuries
    00:17:40 Penetrating – Knife
    00:18:36 Missile – Gunshot
    00:19:58 Pneumothorax
    00:20:53 Spontaneous
    00:26:14 Tension Pneumothorax
    00:30:56 Hemothorax
    00:36:01 Rib Fractures
    00:37:09 Flail Chest
    00:42:50 Traumatic Asphyxia
    00:44:00 Pericardial Tamponade
    00:49:19 Cardiac Contusion
    00:51:45 Aortic Tear
    00:53:00 Summary


    References:

    Thibodeau GA, Patton, KT. Anatomy & Physiology, 5th Edition. St. Louis, Mo.Mosby. 2003

    Guyton AC: Textbook of Medical Physiology, 10th ed. Philadelphia, WB Saunders, 2000.

    National Association of Emergency Medical Technicians. Pre-Hospital Trauma
    Life Support Committee. American College of Surgeons. Committee on Trauma.
    PHTLS : Basic and Advanced Prehospital Trauma Life Support 5th ed. St. Louis, Mo. Mosby, 2003.

    Schwartz, GD. Principles and practice of emergency medicine, 4th ed.
    Baltimore. Williams & Wilkins, 1999.

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