Pulmonary laceration which Shiv Das has been diagnosed with is commonly caused by penetrating trauma but may also result from forces involved in blunt trauma such as shear stress. A cavity filled with blood, air, or both can form. The injury is diagnosed when collections of air or fluid are found on a CT scan of the chest. Surgery may be required to stitch the laceration, to drain blood, or even to remove injured parts of the lung. The injury commonly heals quickly with few problems if it is given proper treatment; however it may be associated with scarring of the lung or other complications. A pulmonary laceration can cause air to leak out of the lacerated lung and into the pleural space, if the laceration goes through to it. In the case …show more content…
However, the lungs do not usually bleed very much because the blood vessels involved are small and the pressure within them is low. Therefore, pneumothorax is usually more of a problem than hemothorax. A pneumothorax may form or be turned into a tension pneumothorax by mechanical ventilation, which may force air out of the tear in the lung. The laceration may also close up by itself, which can cause it to trap blood and potentially form a cyst or hematoma. Because the lung is elastic, the tear forms a round cyst called a traumatic air cyst that may be filled with air, blood, or both and that usually shrinks over a period of weeks or months. Lacerations that are filled with air are called pneumatoceles, and those that are filled with blood are called pulmonary hematomas. In some cases, both pneumatoceles and hematomas exist in the same injured lung. Over time, the walls of lung lacerations tend to grow thicker due to edema and bleeding at the edges. Thoracoscopy may be used in both diagnosis and treatment of pulmonary laceration. As with other chest injuries such as pulmonary contusion, hemothorax, and pneumothorax, pulmonary laceration can often be treated with just supplemental oxygen, ventilation, and drainage of fluids from the chest cavity. A thoracostomy tube can be used to remove blood and air from the chest cavity. About five percent of cases require
Sepsis is a problem of bacterial, parasitic and fungal infection. Due to this the body develops a systemic immune response to get rid of the infection or tissue damage. This causes inflammation throughout the body mainly found in small blood vessels or it leads to septicaemia which is where microbes or infections are found in the blood this can also be called blood poisoning. Septic shock is a life-threatening condition were hypotension occurs as blood pressure drops to a dangerously low level after an infection. In septic shock the patient may experiences tachyeordia this is where there is a greater heart beat than normal (90 heart beats a minute) and tachypnae were the patient is breathing faster than the normal rate (12-20 breathes per minute).
The guidelines’ first focus is the definition of sepsis, which makes sense, because there is no way to effectively treat sepsis without an accurate and categorical definition of the term. The guidelines define sepsis as “the presence (probable or documented) of infection together with systemic manifestations of infection”. Such systemic manifestations can include fever, tachypnea, AMS, WBC >12k, among others; these manifestations are listed in full in Table 1 of the guidelines. The definition for severe sepsis builds on to the definition of sepsis, bringing organ dysfunction and tissue hypoperfusion (oliguria, hypotension, elevated lactate) into the picture; full diagnostic criteria is listed in Table 2. The guidelines recommend that all
Following subsequent investigations, she was diagnosed with bilateral pneumonia and empyema, and was admitted. Once stabilized, she underwent a left thoracotomy with decortication. As a result 2 drains were inserted, with each draining serosanguinous fluid. The plan is to remove these once they have drained < 20 ml in 24 hours.
In one of the meetings with the mentor regarding altered and/or impaired homeostatic function, a case study of a patient admitted with sepsis was discussed. Assessment, care and evolving treatment provided was looked into. Following the discussion, the management of sepsis has been examined further by the learner as she was not familiar with the bundle of six sepsis mentioned by the mentor. The learner looked on the situation and reflected back on the occurrence that took place realizing if appropriate measures were implemented and how things can be different in future practice (Schon, 1987). This
Pritesh has a previous medical history of asthma and has experienced right-sided haemothorax as he got hit by a hockey ball during a competition. Currently, the nurse suspects that Prithesh may be developing tension pneumothorax which is a life-threatening medical emergency (Brown & Edwards, 2012). Tension pneumothorax develops when a hole in the airway structures or the chest wall allows air to enter but not leave the thoracic cavity (Rodgers, 2008). The pressure in the intrathoracic space will continue increase until the lung collapses, place tension on the heart and the opposite lung leading to respiratory and cardiac function impairment, and eventually shock may result (Professional guide to pathophysiology, 2011; Rodgers, 2008). Tension pneumothorax usually results from a penetrating injury to the chest, blunt trauma to the chest, or during use of a mechanical ventilator (Brown & Edwards, 2012; Rodgers, 2008).
Healthy lung tissue is predominately soft, elastic connective tissue, designed to slide easily over the thorax with each breath. The lungs are covered with visceral pleura which glide fluidly over the parietal pleura of the thoracic cavity thanks to the serous secretion of pleural fluid (Marieb, 2006, p. 430). During inhalation, the lungs expand with air, similar to filling a balloon. The pliable latex of the balloon allows it to expand, just as the pliability of lungs and their components allows for expansion. During exhalation, the volume of air decrease causing a deflation, similar to letting air out of the balloon. However, unlike a balloon, the paired lungs are not filled with empty spaces; the bronchi enter the lungs and subdivide progressively smaller into bronchioles, a network of conducting passageways leading to the alveoli (Marieb, 2006, p. 433). Alveoli are small air sacs in the respiratory zone. The respiratory zone also consists of bronchioles and alveolar ducts, and is responsible for the exchange of oxygen and carbon dioxide (Marieb, 2006, p. 433).
A. Background In recent years, there has been an increase in research investigating the long-term effects of repeated head trauma on the brain, especially in athletes. Following his discovery of chronic traumatic encephalopathy (CTE), Dr. Bennet Omalu inspired a movement of research aimed at establishing better safety standards and protocols in football. It was not until 2002 that the initial connection between repetitive head trauma, such as concussions, and brain injury was suspected (Ott, 2015). As common as concussions were during the late 1970s and 1980s, they were often swept under the rug, as they were seen as insignificant injuries.
While in medical Justine was struggle allowing the nursing to check her wound. After getting treatment Justine was able to leave the nurse suite and walking into the 502 hallway. Once she reaches the 502 hallway she sat down on the floor and removed her protective boot and began to removal her wound dressing. Staff attempted to use caring gestures and hurdle help to support Justine and encourage her to use her words so that could understand what’s going on. Justine was able to removal her dressing and staff placed her in a seated restraint from 4:40pm to 4:48pm. Justine was able to recovery and come down to baseline. Staff remains seated next to using caring gestures and encourage Justine to allow the nurse to redress her wound. Nurse Carol
Only the smallest particles of the coal dust make it past the nose, mouth, and throat into the alveoli found deep in the lungs. The alveoli, or air sacs, are responsible for exchanging gases with the blood, and are located at the end of each bronchiole. Microphages, a type of blood cell, gather foreign particles and carry them to where they can either be swallowed or coughed out. If too much dust is inhaled over a long period of time, some dust-laden microphages and particles collect permanently in the lungs causing black lung disease.
In normal breathing, the lungs expand and contract easily and rhythmically within the ribcage. To facilitate this movement and lubricate the moving parts, each lung is enveloped in a moist, smooth, two-layered membrane (the pleura). The outer layer of this membrane lines the ribcage, and between the layers is a virtually imperceptible space (the pleural space), which permits the layers to glide gently across each other. If either of your pleurae becomes inflamed and roughened, the gliding process is impeded and you are suffering from pleurisy. Pleurisy is actually a symptom of an underlying disease rather than a disease in itself. The pleurae may become inflamed as a complication of a lung or chest infection such as pneumonia or tuberculosis, or the inflammation may be caused by a slight pneumothorax or chest injury. The pleural inflammation sometimes creates a further complication by causing fluid to seep into the pleural space, resulting in a condition known as pleural effusion. However, pleurisy is not the only condition that can lead to pleural effusion, it may also be produced by diseases such as rheumatoid arthritis, liver or kidney trouble or heart failure. Even cancer spreading from the lung, breast or ovary can cause pleural effusion. If you have pleurisy, it hurts to breathe deeply or cough, and chest pain is likely to be severe. Accompanying the pain are any other symptoms associated with the underlying disorder. The pain will disappear if a pleural effusion occurs as a consequence of pleurisy, because fluid stops the layers of the pleura from rubbing against each other; however, you may become breathless as the fluid accumulates. In most cases, the risks are those of the underlying cause. A big pleural effusion can compress the lungs and cause breathlessness. Any effusion may lead to empyema. A chest X-ray examination may be required.
BANG! THUD! FLOP! The usually sound of an athlete when they hit the ground after they received and unexpected injury during the middle of a big game. While reading The Glass Castle, Jeannette Walls went through adversity in her life so too must athletes who get injured in sports. It happens in sports everywhere: professional, college, high school, middle school, and even in younger age groups. Injuries aren’t fun, but that’s just how the dice roll. Those who don’t go through injuries are blessed with knowing that they don’t have to go through the hardships; however, they are also cursed because they don’t know the feeling of breaking your ankles in a soccer game, receiving a concussion during a football game, or even breaking your arm during
When you breathe in, air containing carbon dioxide (CO2) and oxygen (O2) it moves down your trachea; a tunnel containing cartilage and smooth tissue. Air then travels through two hollow tubes called bronchi; narrow branches lined with smooth muscle, mucosal and ringed cartilage to support the structure. The bronchi divide out into smaller tunnels called bronchioles; are small branches 0.5-1mm, lined with muscular walls to help dilate and constrict the airway. At the end of the bronchioles are little air sacs called alveoli; which assist in gas exchange of O2 and CO2. (Eldridge, 2016) Towards the end of alveoli are small blood vessel capillaries. O2 is moved through the blood stream through theses small blood vessels (capillaries) at the end of the alveoli and the CO2 is then exhaled. (RolandMedically,
...ey may require aggressive treatment, such as continuous fluid drainage and use of mechanical ventilation to help the patient to breathe. Whatever the severity of it, it is important to get medical care as quickly as possible to have the best chance of full recovery.
A facial laceration is a cut on the face. The injuries can be painful and can cause bleeding. Lacerations usually heal quickly, but they need special care to reduce scarring.
In conclusion, early diagnosis followed by an appropriate airway intervention is essential to prevent cardiac arrest or irreversible brain damage that occurs within minutes of complete airway obstruction. Although the conventional techniques remains standard option, every physician has to be familiar with the process of evaluating a difficult airway and, in the event of the unanticipated difficult airway and be able to use a wide variety of techniques to avoid complications and fatality. Airway management of the patient requires a coordinated effort from other consultants or colleagues, if available, can be the key to success in some circumstances.