EMR ch22
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Transcript of EMR ch22
![Page 1: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/1.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
CHAPTERCHAPTER
Caring for Chest and Caring for Chest and Abdominal EmergenciesAbdominal Emergencies
2222
![Page 2: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/2.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
ANATOMY OF THE CHESTANATOMY OF THE CHEST
![Page 3: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/3.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
The chest contains the heart and lungs and is separated from the abdominal cavity by the diaphragm muscle.
![Page 4: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/4.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Each lung is surrounded by a thin lining of tissue called the pleura.
![Page 5: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/5.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
CHEST INJURIESCHEST INJURIES
![Page 6: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/6.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Use both hands to carefully and thoroughly palpate the chest for pain and deformity.
![Page 7: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/7.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
An open chest injury.
![Page 8: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/8.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 9: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/9.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
A flail segment results when two or more ribs are fractured in two or more places.
![Page 10: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/10.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 11: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/11.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 12: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/12.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Teaching Tip: Present examples of occlusive dressings.
Place an occlusive dressing over an open chest wound and tape in either three or four sides. Follow local protocol.
![Page 13: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/13.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 14: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/14.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Stabilize impaled objects using bulky dressings.
![Page 15: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/15.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
ABDOMINAL EMERGENCIESABDOMINAL EMERGENCIES
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Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Solid and Hollow Organs
![Page 17: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/17.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
For assessment purposes, the abdomen is divided into four quadrants.
![Page 18: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/18.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
ABDOMINAL INJURIESABDOMINAL INJURIES
![Page 19: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/19.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 20: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/20.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 21: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/21.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 22: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/22.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
![Page 23: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/23.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Cut away clothing to expose the entire injury.
![Page 24: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/24.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Place a large sterile dressing moistened with sterile water or saline over the exposed abdominal contents.
![Page 25: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/25.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
Place a plastic sheet over the dressing and secure in place.
![Page 26: EMR ch22](https://reader035.fdocuments.net/reader035/viewer/2022062902/58ef81be1a28abd1148b45c7/html5/thumbnails/26.jpg)
Copyright ©2012 by Pearson Education, Inc.All rights reserved.
Emergency Care, Twelfth EditionDaniel J. Limmer • O’Keefe • Grant • Murray • Bergeron • Dickinson
Emergency Medical Responder: First on Scene, Ninth EditionLe Baudour • Bergeron • Wesley
An abdominal evisceration.