Chest Injury in Hindi, Chest trauma, chest injury management, chest injury surgery lecture
Chest injuries are injuries to the chest wall (the bones, skin, fat and muscles protecting your lungs, including your ribs and sternum) or any of the organs inside the chest.
Occurs in almost 80%- Road Traffic accidents
Chest injuries include:
bruising or abrasions (cuts and grazes) to the chest area
broken bones (for example, a rib fracture)
damage to the lungs or heart
Chest injuries can be minor, such as bruising, or serious problems that need urgent medical attention.
Types of Chest Injuries- 4
Blunt: This type of injury is caused by coming into contact with some solid object that causes increased intrathoracic or chest cavity pressure. (Fall from height, road accident etc.)
Penetrating: A penetrating injury is one that involves piercing of the chest cavity by a foreign object.
Blast: These types of injuries are associated with explosions.
Inhalation: An inhalation chest injury is one caused by gases, fumes, dusts, or even liquids entering the lungs.
If the injury is severe, there may be internal bleeding. This might be obvious (e.g. coughing up blood), or not so obvious (e.g. pale and clammy skin, nausea, extreme thirst).
Difficulty breathing
Feel drowsy or confused
Cough up any yellow/green or red-stained sputum
Chest pain
Pass any blood in your urine and or stools
Extreme thirst
The most common signs and symptoms of chest injury:
Pain in the chest that gets worse when laughing, coughing or sneezing
Tenderness
Bruising
Swelling
Symptoms of a fractured rib are:
Extreme pain when breathing in
Tenderness to the chest or back over the ribs
A ‘crunchy’ feeling under the skin
Severe shortness of breath
A chest injury is diagnosed with a physical examination.
Investigations-
Chest X-ray(Sometimes rib fractures don’t show on a chest x-ray)
CBC
CT scan
Check for injury to the heart
any serious problems related to the fractured rib, such as a bruised or collapsed lung.
Main aim of Resuscitation
Airway- Blood & fluid aspiration (mouth, trachea, pharynx)
Plastic airway introduce
Endotrachial intubation
Crico thyroidotomy
Tracheostomy
Breathing- Intubation
Intercostal chest tube (ICT)
Closure of any open chest wound
Circulation- Control bleeding
Volume infusion
Disability- neurological
Exposure- All clothes cut
Relive pain (do not sedate)
All open chest wound - covered
Life threatening injury identified & treated immediately
Complication-
Main Complication- Chest infection
Other less common complications-
Hemothorax
Pneumothorax
Abdominal injuries
Surgical emphysema: Air trapped under the skin can cause a swollen area on the chest wall
By- Dr. Shipra mishra
M.S. (gen surgeon)
Copyright Disclaimer under Section 107 of the copyright act 1976, allowance is made for fair use for purposes such as criticism, comment, news reporting, scholarship, and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use.
contact info :-
Instagram- learn_with_dr_s...
Facebook- profile.php?...
telegram- t.me/learnwithdrshipra
#chest #thorax #chestinjury #ribs
@nucleusmedicalmedia
@rgcudaipur5985
@DrEDUCATION
@LEARNABOUTMEDICINE
@lecturiomedical
10 июл 2022
