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Chapter 30- Chest Injuries

Emergency Care and Transportation of the Sick and Injured, Twelfth Edition
Horizontales
An airtight dressing that protects a wound from air and bacteria; a commercial vented version allows air to passively escape from the chest, while an unvented dressing may be made of petrolatum gauze, aluminum foil, or plastic.
A condition in which two or more adjacent ribs are fractured in two or more places or in association with a fracture of the sternum so that a segment of the chest wall is effectively detached from the rest of the thoracic cage.
An open or penetrating chest wall wound through which air passes during inspiration and expiration, creating a sucking sound.
A blunt chest injury caused by a sudden, direct blow to the chest only during the critical portion of a person's heartbeat.
Compression of the heart as a result of buildup of blood or other fluid in the pericardial sac, leading to decreased cardiac output.
Bruising of the heart muscle.
An accumulation of air or gas in the pleural cavity that progressively increases pressure in the chest that interferes with cardiac function with potentially fatal results.
An open or penetrating chest wall wound through which air passes during inspiration and expiration, creating a sucking sound; also referred to as a sucking chest wound.
An accumulation of gas in the pleural cavity.
A pattern of injuries seen after a severe force is applied to the chest, forcing blood from the great vessels back into the head and neck.
A pneumothorax that occurs when a weak area on the lung ruptures in the absence of major injury, allowing air to leak into the pleural space.
Verticales
A grating or grinding sensation caused by fractured bone ends or joints rubbing together.
Injury or bruising of lung tissue that results in hemorrhage.
Rapid respirations
An injury to the chest in which the skin is not broken, usually caused by blunt trauma.
The motion of the portion of the chest wall that is detached in a flail chest; the motion - in during inhalation, out during exhalation - is exactly the opposite of normal chest wall motion during breathing.
A collection of blood in the pleural cavity.