OPEN CHEST

WOUND
REGALA, BIANCA YSABELLE M.
BSN III-B
RLE GROUP 2

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 OPEN
OPEN CHEST
CHEST WOUND
WOUND
 Open chest wounds come in a variety of shapes and sizes. Their one
commonality is an open communication between the pleural space and the
external environment. The wounds have often been sealed by the soft tissues
of the chest wall in the vast majority of patients with penetrating injuries to
the chest. The primaryI concern with these
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treatment of underlying
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 OPEN
OPEN CHEST
CHEST WOUND
WOUND CAUSES

 Open chest wound happens when an injury causes a hole to open in your
chest. Open chest wound are often caused by stabbing, gunshots, or other
injuries that penetrate the chest.

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 OPEN
OPEN CHEST
CHEST WOUND
WOUND RISK FACTORS

 All ages are risk for having an open wound chest. All races are also risk for.

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 OPEN
OPEN CHEST
CHEST WOUND
WOUND COMPLICATIONS

 Possible complications of an open wound chest that can be fatal include:

 tension pneumothorax
 loss of oxygen in the blood (hypoxia)
 shock from blood or oxygen loss (hypotension)
 fluid buildup inIthe
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 I injuries
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 OPEN
OPEN CHEST
CHEST WOUND
WOUND SIGN AND SYMPTOMS

 Bluish tint to lips, inside of mouth, fingertips, or nailbeds. (The color

change is caused by the decreased amount of oxygen in the blood.)
 Rapid and weak heartbeat
 an opening in the chest, about the size of a coin
 hissing or sucking sounds when
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 heavy bleeding
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 bright red or pinkish,
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 coughing up blood
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 OPEN
OPEN CHEST
CHEST WOUND
WOUND PATHOPHYSIOLOGY

 Larger, more destructive wounds of the chest may also occur. These are most common in
combat injuries. In civilian practice, they are often secondary to shotgun injuries. The
larger wounds are also caused by high-velocity weapons, explosions, on-the-job injuries,
propeller injuries, or fencepost impalements, to name a few.
 Clothing, wadding, shell fragments, and pieces of the chest wall may all be driven into the
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thoracic cavity. Such injuries are Jayden
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physical loss of a portion of the chest wall
itself, making adequate ventilation impossible. These wounds are known by numerous
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names including open chest wounds, open pneumothorax, sucking chest wounds, and
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communicating pneumothorax.
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 OPEN
OPEN CHEST
CHEST WOUND
WOUND NURSING MANAGEMENT

 The first and most important step in the management of the chest trauma is
maintaining a high level of suspicion.
 Second assess the patient.
 Early treatment of an open chest wound included placing an air-occlusive
dressing over the site and taping
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 OPEN
OPEN CHEST
CHEST WOUND
WOUND MEDICAL MANAGEMENT

 A facemask is placed over the nose and mouth of the patient to deliver oxygen into
their body.
 The patient is connected to an intravenous (IV) catheter and given anesthesia so that a
doctor or surgeon can operate.
 During surgery, a small incision is made on the patient’s chest. The surgeon inserts a
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chest tube into the patient’s chestJayden
cavity (theSmith
pleural space) to drain fluids from the
area around their lungs. The chest tube stays in until all excess air and fluid has been
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drained.
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 The surgeon then surgically closes the wound with stitches or sutures to prevent
further bleeding and to keep air from getting
9 into the pleural space.
 OPEN
OPEN CHEST
CHEST WOUND
WOUND DIAGNOSTIC TESTS

 A chest injury is diagnosed with a physical examination and sometimes

investigations such as a chest x-ray. A blood test may also be done. A CT
scan may also be needed to check for injury to the heart. For a rib fracture,
sometimes doctors can feel the broken ribs when they gently press the
affected area.

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 THANK YOU
THANKYOU 

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