Blunt Force Trauma, Flail Chest, Heamoneumothorax, Pulmonary Contusion, Pericardial Tamponarde, Shock, Respiratory Shock, Hemoragic Shock, Fracture,

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Blunt force trauma, Flail chest, Heamoneumothorax, Pulmonary contusion, Pericardial Tamponarde, Shock, Respiratory shock, Hemoragic shock, and brake or fracture.

Steve is complaining of 8/10 pain on his left leg, it is clearly deformed, is a potential fracture or dislocation. This is not a life threatening injury but a major distracting injury.

One of the patient’s main injuries is the 12 cm contusion on his left axial/anterior chest with 8/10 pain.

When excessive blunt force trauma is applied to the chest wall above the body’s tolerance the musculoskeletal system protecting the vital organs will fail. “This blunt trauma can lead to fail chest syndrome”...(Aaron MR at el 2001), pulmonary contusion, heamothorax or pneumothorax and aortic disruption.

The first rib and manubrium is fixed to each other and move as one. The first rib is short and protected by the clavicle. Fracture of this rib indicates a considerable application of force to the thoracic wall.

Luckily there is no visible sighting of flail chest; Flail chest occurs when a series of adjacent ribs are fractured in at least 2 consecutive places, both anteriorly and posterior. “This section of the chest wall becomes dislodged from the main structure and it moves during spontaneous inspiration/experation. The physiological impact of a flail chest depends on multiple factors, including the size of the flail segment and internal damage”... Davignon, K., Kwo, J., & Bigatello, L. M. (2004).

If a rib ruptures the plural space this can result in pneumothorax

Normaly the pleural space has a negative pressure which allow the parietal and visceral pleura to expand in time with the diaphragm and draw air into the lungs. As the chest wall expands outward, the surface tension...

... middle of paper ...

...sider the possibility of an GI bleed.

GI bleed is a contraindication as the bleed is not contained in the body and can escape through either orifice. We can administer 20ml/kg of NaCl+ until HR <100 and BP >100

If signs of improvement are not seen fluid therapy will ceased.

Works Cited

http://www.sassit.co.za/Journals/Trauma/Chest%20trauma/flail%20chest.pdf

Aaron MR,Johnathan AJ,Timmothy RG 2001 management of flain chest retrieved http://www.sassit.co.za/Journals/Trauma/Chest%20trauma/flail%20chest.pdf

Davignon, K., Kwo, J., & Bigatello, L. M. (2004). Pathophysiology and management of the flail chest. Minerva anestesiologica, 4, 193–199.

Trauma.org, 2004. TRAUMA.ORG: Thoracic Trauma. retreived: http://www.trauma.org/archive/thoracic/CHESTcontusion.html

Richter T, Ragaller M. 2011Ventilation in chest trauma. J Emerg Trauma Shock.;4(2):251-9.

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