Card Set Information
What are the 4 major Parts of the Upper Airway?
What are the 4 major parts of the lower Airway?
-Trachea wich is infront of the Esophigus
What is the sac surrounding the lungs called?
How many sections are there in the right lung? Left lung?
- Right lung
: RUL, RML, RLL
- Left Lung
: LUL, LLL
What maneuver might we do in the Cricoid cartilage?
- Sellick maneuver
What is the Sellick maneuver?
Also called cricoid pressure, push on trachea to close off the esophogis
What is a burp?
backwards upwards right pressure
Noisy breathing means:
If the patient has chest pain, what should be your next question?
If yes, NRB 12-15LPM
If no, Nasal Cannula 2-6LPM
What is the difference between oxygenation and ventilation?
Oxygenationation = put o2 in blood for body = SpO2 measurement
Ventilation = us breathing for someone = EtCO2 measurement
Exam question: What percentage of O2 do you recieve from a BVM, NRB and nasal cannula and how many LPM?
BVM 90-100% 10-15LPM
NRB 60-90 % 10-15LPM
NC 25-30 % 2-6 LPM
If you have altered breath sounds, what do you do next?
Also called cricoid pressure, in order to close off esophogus
Backwards upper right pressure while medic intubates
- similar to sellick maneuver
In order to ensure an open airway
- oropharyngeal airway
- nasopharyngeal airway
- tracheal deviation
- Asymmetrical movement
- Neck veins distended
- Abnormal breath sounds
- Subcutaneous emphysema
- chest wall contusion / open wounds
- Cyanosis, chest pain, SOB
- open chest wound, air enteres into plural space, squishes lung to collapse, then possible tension pneumothorax
- shallow breathing
- guarging wound
initial=hand on wound
secondary=3 sided occlusive dressing
- 3+ ribs broken in 2+ places in succession
- paridoxical motion
- pulse up
- BP up
Watch out for pulinary contusion / Hemothorax / pneumothorax
- Lungs popped, air fills plural space and begins to push on other chest cavity organs
- SOB, fast and shallow
- Breath sounds diminished
- tracheal deviation
- Blood fills the plural space
- anxiety and confusion
- neck veins flat = hypovolemia
- breath sounds decreased
- blood fills the sac around the heart
-Becks Triad (hypotension, neck veins distended, heart sounds muffled)
- peridoxical pulse
- breath sounds equal
Watch out for hemothorax and pneumothorax
- blunt chest injury
- similar to MI and Angina
Watch for cardiac tamponalde, hemothorax and pneumothorax
AAA and Tramatic Aortic Rupture
- MVC's and falls from height (90% immidiate death)
- scene size up and history is extremely important
(no obvious sign of chest trauma, hypertension in upper extremities