« pneumothorax »

43 passage(s) dans 12 référentiel(s).

• JTS — Mechanical Ventilation during Critical Care Air TransportJTS
  • p. 12patient is dyssynchronous with the ventilator: 1. Consider changing the ventilatory mode. 2. Rule out pneumothorax/hemothorax. 3. Review peak pressure trend if using volume cycled ventilation. 4. Review VT trend if using pressure control ventilation. VT will decrease ... significant pneumothorax develops and ΔP is not changed. 5. Evaluate existing chest tubes for proper function. 6. Consider increasing sedation or adding paralytic. 7. Evaluate lungs with ultrasound. 8. Needle decompression of the chest and placement
  • p. 4left in place, particularly for patients on positive pressure ventilation. As patients climb in altitude, any residual pneumothorax may re-expand. Additionally, patients may require increasing ventilatory pressures to achieve oxygenation goals at altitude, putting the patient ... risk for recurrent/worsening pneumothorax. 2. Patients on a ventilator typically should not be extubated immediately prior to transport. The decreased partial pressure of oxygen at altitude may not be easily overcome with non-invasive oxygenation. Additionally, transport
• OMS / CICR — Basic Emergency Care (cahier du participant)OMS · CICR · IFEM
  • p. 52provider capable of advanced airway management. B Breathing conditions CONDITION SIGNS AND SYMPTOMS IN-DEPTH MANAGEMENT Tension pneumothorax • Hypotension WITH: – difficulty breathing – distended neck veins – absent breath sounds on affected side – hyperresonance with percussion on affected side ... have tracheal shift away from affected side Any pneumothorax can become a tension pneumothorax. Air in the cavity between the lungs and the chest wall can collapse the lung (simple pneumothorax). Building pressure (tension) from a large pneumothorax
  • p. 31GLOSSARY REFS & QUICK CARDSPARTICIPANT WORKBOOK2323 BREATHING conditions B CONDITION SIGNS AND SYMPTOMS IN-DEPTH DESCRIPTION AND MANAGEMENT Tension pneumothorax Hypotension WITH difficulty in breathing AND any of the following: • distended neck veins • absent breath sounds on affected side ... hyperresonance with percussion on affected side [See SKILLS] • tracheal shift away from affected side Any pneumothorax can become a tension pneumothorax. Air in the cavity between the lungs and the chest wall can collapse the lung (simple pneumothorax
  • p. 165rush of air) or for any suspected haemothorax. Needle decompression BREATHING SKILL STATION: MANAGEMENT OF OPEN PNEUMOTHORAX (SUCKING CHEST WOUND) An open pneumothorax is an open chest wall wound that sucks air in when the patient breathes ... than going into the lungs, it goes into the space between the chest wall and lungs, creating a pneumothorax. A 3-sided dressing is placed to prevent more air from coming in during inhalation, but to allow
  • p. 66breath sounds Monitor closely for difficulty in breathing due to lung injury which can develop over time. Tension pneumothorax is treated in the primary survey; however, chest injury may also be associated with simple pneumothorax which can progress ... tension pneumothorax. • Any patient with a pneumothorax should be placed on oxygen and monitored closely for development of a tension pneumothorax. • Crepitus or tenderness may be signs of rib fractures which are often associated with underlying chest

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• FPHC — Arrêt cardiaque traumatique (position 2024)Faculty of Pre-Hospital Care (RCSEd)
  • p. 5ventilation is achieved with basic or more advanced airway interventions depending on the skills of attending providers. Tension pneumothorax In a tension pneumothorax, accumulating intrapleural air leads to lung collapse and the shift of mediastinal structures such ... lead to low flow states and the loss of cardiac output. Large studies document an incidence of tension pneumothorax in TCA of between 6 [26] and 13% [27]. In suspected tension pneumothorax in TCA, needle decompression
  • p. 2onset of cardiac arrest. These may include blood products or the treatment of airway obstruction or tension pneumothorax. Positive pressure ventilation may worsen haemodynamics in the trauma patient by impairing venous return to the heart. It may precipitate ... patients with tension pneumothorax, cardiac tamponade and severe hypo- volaemia. In TCA, tension pneumothorax must be treated with thoracostomy before or immediately after intubation. Recommendation: Positive pressure ventilation can precipitate TCA in patients with hypovolaemia, car- diac tamponade
• JTS — Mechanical Ventilation BasicsJTS
  • p. 7rupture via cuff manometer.5 ▪ Obstructions: Assess for secretions in ETT. Suction if indicated. ▪ Pressure: Ensure that a tension pneumothorax / hemothorax has not developed (if the chest tube is in place, ensure it is properly suctioning, not kinked ... clamped). If tension pneumothorax / hemothorax is suspected, perform immediate needle thoracentesis. Auto PEEPing or breath stacking can mirror development of a tension pneumothorax (disconnect circuit and gently squeeze chest for full exhalation and adjust settings see below
  • p. 14will require higher pressures to expand to the same volume as a normal lung. Internal causes such as pneumothorax and fluid/blood in the alveoli can decrease lung compliance. There are also external causes that decrease lung’s ability ... that is exchanged in one breath. Decreases in tidal volume can result from external pressure (i.e. Pneumothorax, hemothorax, tension pneumothorax) by effectively reducing lung volume. Dynamic hyperinflation also known as “breath stacking” is caused by the inability
  • p. 6Pressure Ventilation (PPV) have risks. For example, a patient with increased work of breathing due to hypoxia from pneumothorax will be severely harmed by intubation with the introduction of positive pressure that can expand the pneumothorax and result ... determine why the patient is tachypneic prior to intubation. Ruling out and treating both hemorrhage and tension pneumothorax (PTX) must occur before intubation. Additionally, a simple PTX which could result in moderate tachypnea, positive pressure ventilation can rapidly
  • p. 36Emergency & Backup Equipment ▪ Alternative Airway Devices (e.g., King LT, LMA) ▪ Needle Decompression Kit (for suspected tension pneumothorax) ▪ Chest Tube Insertion Kit (if managing pneumothorax in ventilated patients) ▪ Portable Suction Device ▪ Emergency Medications (Sedation & Paralysis if needed for mechanical

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• JTS — U.S. Army Aeromedical Evacuation Standard Medical Operating GuidelinesJTS
  • p. 31trauma without a pulse • Unresponsive to external stimuli History (Differential) • Medical cause of arrest preceding trauma • Tension pneumothorax • Hypovolemia • Cardiac tamponade Treatment • Determine if injuries are incompatible with life o Do not resuscitate if injuries are incompatible with ... during Tactical Field Care should have bilateral needle decompression performed to ensure they do not have a tension pneumothorax prior to discontinuation of care • If unsure if arrest is due to trauma or medical cause, initiate ALS guideline
  • p. 25Open  Seal open wound with occlusive chest seal (vented) o Impalement  Stabilize  High index of concern for hemo-pneumothorax o Signs of hemo-pneumothorax  Needle thoracostomy o Goal: SPO2 ≥ 90%; improved RR; equal rise / fall • Blunt chest trauma ... Flail chest  Administer pain control  Consider endotracheal intubation, positive pressure ventilation o Signs of hemo-pneumothorax  Needle thoracostomy o Goal: SPO2 ≥ 90%; improved RR; equal rise / fall Notes, Cautions, Warnings • Needle thoracostomy may need to be repeated • Failure
  • p. 16cuff manometer. o Obstructions: Assess for secretions in ETT. Suction if indicated. o Pressure: Ensure that a tension pneumothorax / hemothorax has not developed (if chest tube is in place, ensure it is properly suctioning, not kinked or clamped ... Auto PEEPing or breath stacking can mirror development of tension pneumothorax (disconnect circuit and gently squeeze chest for full exhalation and adjust settings. See below for further description). Assess the need for escharotomy if circumferentially burned. Consider additional
  • p. 194TABLE OF CONTENTS 194 NEEDLE THORACOSTOMY CLINICAL INDICATIONS: Suspect a tension pneumothorax and treat when a casualty has significant torso trauma or primary blast injury and one or more of the following: • Severe or progressive respiratory distress ... pulse oximetry, shock, traumatic cardiac arrest without obviously fatal wounds * Note: If not treated promptly, tension pneumothorax may progress from respiratory distress to shock and traumatic cardiac arrest PROCEDURE: * * Note: This intervention is a BRIEF stopgap utilized
• TCCC Guidelines — 1er mai 2026CoTCCC / Joint Trauma System
  • p. 4TCCC Guidelines 2026  If not treated promptly, tension pneumothorax may progress from respiratory distress to shock and traumatic cardiac arrest. 2. Initial treatment of suspected tension pneumothorax: 1. If the casualty has a chest seal in place, burp ... radial pulse. 4. If the initial NDC fails to improve the casualty’s signs/symptoms from the suspected tension pneumothorax: 1. Perform a second NDC on the same side of the chest at whichever of the two recommended sites
  • p. 5available, use a non- vented chest seal. Monitor the casualty for the potential development of a subsequent tension pneumothorax. If the casualty develops increasing hypoxia, respiratory distress, or hypotension and a tension pneumothorax is suspected, treat by burping
  • p. 3stabilization is not necessary for casualties who have sustained only penetrating trauma. 5. Respiration/Breathing a. Assess for tension pneumothorax and treat, as necessary. 1. Suspect a tension pneumothorax and treat when a casualty has significant torso trauma
  • p. 13respirations during TFC should have bilateral needle decompression performed to ensure they do not have a tension pneumothorax prior to discontinuation of care. The procedure is the same as described in section (5a) above. 18. Communication. a. Communicate
• NHTSA — National EMS Education Standards 2021NHTSA
  • p. 49Blunt versus penetrating mechanisms (F,S) • Open chest wound (S,S) • Impaled object (S,S) • Hemothorax (F,S) • Pneumothorax (F,S) • Cardiac tamponade (F,S) • Rib fractures (F,S) • Flail chest (F,S) • Commotio cordis (F,S) • Blunt ... versus penetrating mechanisms (F,S) • Open chest wound (S,S) • Impaled object (S,S) • Hemothorax (F,F) • Pneumothorax (F,F) • Cardiac tamponade (F,F) • Rib fractures (F,F) • Flail chest (F,F) • Commotio cordis (F,S) • Traumatic aortic
  • p. 46airway obstruction (F,F) • Lower airway disease: Asthma, bronchiolitis, pneumonia, chronic obstructive pulmonary disease (COPD) (F,F) • Spontaneous pneumothorax (F,F) • Pulmonary edema (F,F) • Other respiratory disorders to be determined locally (S,S) • Respiratory distress/failure/ arrest ... croup, epiglottitis (C,F) • Lower airway disease: Asthma, bronchiolitis, pneumonia, chronic obstructive pulmonary disease (COPD) (C,F) • Spontaneous pneumothorax (F,F) • Pulmonary edema (C,F) • Other respiratory disorders to be determined locally (S,S) • Respiratory distress/failure/arrest
• JTS — Prolonged Casualty Care GuidelinesJoint Trauma System (DoD)
  • p. 18alternate causes of shock – hypovolemic (burn, sepsis, diarrheal illness and other causes of non-hemorrhagic shock), obstructive (tension pneumothorax or cardiac tamponade), distributive (spinal cord injury, sepsis, anaphylaxis, etc.).  If shock is not hemorrhagic, then treat for alternate ... cause of shock: judicious crystalloid for sepsis and burns, chest tube for tension pneumothorax; crystalloid and vasopressors* for evidence of spinal cord injury with neurogenic shock.  If resuscitation goals can all be met, maintain crystalloid IV or discontinue
• IFRC — International First Aid, Resuscitation and Education Guidelines 2020IFRC — Global First Aid Reference Centre
  • p. 387blowing chest wounds An open chest wound in which air enters and exits with each breathing movement. Tension pneumothorax Tension pneumothorax can be caused by an open chest wound. Air enters the cavity (the pleural space) between
  • p. 197importance of using a non-occlusive dressing to prevent the development of a potentially life-threatening complication of pneumothorax. • Emphasise also that any non-occlusive dressing placed on an open chest wound should be closely monitored (as well
• Agressions collectives par armes de guerre — conduites à tenirMinistères de l'Intérieur, des Armées et de la Santé
  • p. 98Gestion des voies aériennes et prise en charge des plaies thoraciques L’obstruction des voies aériennes et le pneumothorax suffocant sont respecti- vement les 2e et 3e causes de décès évitables en préhospitalier. Ils sont à l’origine ... font partie des gestes salvateurs d’une victime présentant une obstruction trauma- tique des voies aériennes supérieures. Le pneumothorax compressif doit être rapidement diagnostiqué puisque acces- sible à des gestes simples et rapides à mettre en œuvre dès
• JTS — Acute Traumatic Wound Management in Prolonged Field CareJTS
  • p. 6Wounds penetrating the chest cavity should not be probed and should be minimally debrided to avoid creating a pneumothorax. If a pneumothorax is present, a chest tube should be placed through a separate, clean skin incision.  Wounds penetrating
• JTS — Joint En Route Care GuidelinesJTS
  • p. 16Prior to CPR, ensure the following reversible causes of cardiac arrest have been addressed: Hypovolemia, Hypoxia, Hyperkalemia, Tension pneumothorax, Cardiac Tamponade (in the ERC setting cardiac tamponade should be treated with volume (blood) administration). HAND-OFF • Ensure Hand ... respirations during ERC should have bilateral needle decompressions/finger thoracostomy performed to ensure they do not have a tension pneumothorax. *See CPR above. • Convert tourniquets IAW TCCC guidelines: Limb tourniquets and junctional tourniquets should be converted to hemostatic