Breathing:PTC

This page is part of the PTC skillset by Primary Trauma Care Foundation.This work is part of the Surgical Education Learners Forum. It's not open edit.Read more...

The second priority is the establishment of effective breathing or ventilation.

Principles[edit | edit source]

Medical skill data

Part of	PTC Course
Subskills	Alertness and Orientation Assessment (A&O) Alertness Assessment (AVPU) Glasgow Coma Scale Assessment C-Spine Manual Stabilization Airway Opening with Jaw Thrust Vital Signs Assessment Respiratory Rate Assessment Lung Sound Auscultation Capillary Refill Assessment Skin Sign Evaluation Non-Rebreather Mask O2 Administration Oxygen Administration Scene Assessment Upon Arrival (PENMAN) SAMPLE History Taking Stethoscope Use Circulation
Equipment	EMS Jump Bag C Collar Battery Operated Suction Unit Oropharyngeal Airways Nasopharyngeal Airways Gauze Pads

Basic Anatomy[edit | edit source]

Assessment[edit | edit source]

LOOK[edit | edit source]

• Count the respiratory rate.

Are any of the following present:

• Cyanosis?
• Penetrating injury?
• Presence of flail chest?

• Sucking chest wounds?
• Use of accessory muscles of ventilation

FEEL for[edit | edit source]

• Tracheal shift

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• Broken ribs
• Chest wall expansion on both sides of the chest
• Subcutaneous emphysema.

Percussion is useful for diagnosis of haemothorax and pneumothorax.

= LISTEN with a stethoscope for =

• Pneumothorax (decreased breath sounds on site of injury)
• Detection of abnormal sounds in the chest. = == Management ===
• Give oxygen
• Assisted ventilation with BVM
• Address any penetrating wounds

Annotations:

• 0:00 Scene Assessment Upon Arrival (PENMAN)

• 0:18 Occlusive Dressing Application
• 1:03 Lung Sound Auscultation
• 1:08 Improvised Occlusive Dressings

• Immediately decompress tension pneumothorax.
• Drain haemothorax or pneumothorax

(Breathing management is covered in detail in Appendix 2)

Page data

Authors	William M Nabulyato
License	CC-BY-SA-4.0
Language	[https://www.appropedia.org/w/index.php?title=Special:Search"> '"`UNIQ--html-00000010-QINU`"' '"`UNIQ--usescript-00000011-QINU`"''"`UNIQ--templatestyles-00000012-QINU`"' Percussion is useful for diagnosis of haemothorax and pneumothorax. ==== [[Lung Sound Auscultation|LISTEN with a stethoscope]] for = === '"`UNIQ--html-00000013-QINU`"' '"`UNIQ--usescript-00000014-QINU`"''"`UNIQ--templatestyles-00000015-QINU`"' [[Penetrating Chest Trauma#Pathophysiology of Pneumothorax|Pneumothorax]] (decreased breath sounds on site of injury) Detection of abnormal sounds in the chest. = == Management === [[Airway Management#Oxygen|Give oxygen]] Assisted ventilation with BVM Address any penetrating wounds '"`UNIQ--html-00000016-QINU`"' Annotations: 0:00 [[Scene Assessment Upon Arrival (PENMAN)]] 0:18 Occlusive Dressing Application 1:03 [[Lung Sound Auscultation]] 1:08 Improvised Occlusive Dressings '"`UNIQ--usescript-00000017-QINU`"''"`UNIQ--templatestyles-00000018-QINU`"' Immediately decompress tension pneumothorax. Drain haemothorax or pneumothorax '"`UNIQ--html-00000019-QINU`"' '"`UNIQ--usescript-0000001A-QINU`"''"`UNIQ--templatestyles-0000001B-QINU`"' (Breathing management is covered in detail in Appendix 2) [[File:FA info icon.svg|x15px|class=databox-icon|link=]] [[File:Angle down icon.svg|x11px|class=databox-arrow|link=]] Page data Authors [[User:Willnabulyato|William M Nabulyato]] License [https://creativecommons.org/licenses/by-sa/4.0/ CC-BY-SA-4.0] Language [https://www.appropedia.org/w/index.php?title=Special:Search/mqdefault.jpg" width="640" height="360" />