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BREATHING MANAGEMENT

Breathing:
the need for immediate
corrections
• Serious Chest injuries
• Head injury
• Impending arrest from deep
shock
Breathing Assistance

• shallow, feeble
breathing
• “Air hunger”
• RR>25
• RR>35
Rule out tension
pneumothorax first
Flow
• Air hunger
• RR>25
• Tension
pneumothorax
Serious Chest injuries

• Open pneumothorax
• The tension pneumothorax
• Flail chest, Lung contusion
Open pneumothorax
Open pneumothorax
Tension Pneumothorax
Signs & Symptoms
• dyspnea, tachypnea,
cyanosis
• engorged neck vein
• diminished breath sound
• palpable rib fracture
• increased resistance to
Ambu-bagging
Pic: rollover
Flow
• Air hunger
• RR>25
• Tension
pneumothorax
ถ ้าคนไข ้แย่มาก
– ไม่รู ้ตัว
– BP drop
– เขียว
รอ CXR ไม่ได ้ ให ้
ใส่ ICD ทันที
Lung contusion

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