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PATHOPHYSIOLOGY

of chest trauma
MECHANICS OF BLUNT CHEST TRAUMA
ACCELERATION- moving object hitting the chest or patient being
thrown into an object.
DECELERATION- sudden decrease in rate of speed or velocity, such
as motor vehicle crash.
SHEARING- Stretching forces to area of the chest causing tears,
ruptures, or dissections.
COMPRESSION- direct blow to the chest, such as crush injuries.
CAN BE RESULT TO:

HYPOXEMIA
- From disruption of the airway; injury to the lung
parenchyma, rib cage, and respiratory musculature; massive
hemorrhage; collapsed lung; and pneumothorax
HYPOVOLEMIA
-From massive fluid loss from the great vessels, cardiac
rupture, or hemothorax
CARDIAC FAILURE
-From cardiac tamponade, cardiac contusion, or increased
intrathoracic pressure.
PENETRATING CHEST TRAUMA

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