string(11) "/protocols/"

CHEST INJURIES: 6.0

All Providers

  • Focused history and physical exam
  • Cardiac monitor, consider ETCO2, pulse oximetry, consider 12 lead EKG
  • Treatment Plan
    • Seal sucking chest wounds
    • Stabilize flail segments
  • Key Considerations
    • Cut around knife/gun openings in clothing, place in paper bag for law enforcement
    • Stabilize impaled objects
    • Selective Spinal Motion Restriction Protocol
    • Consider shock protocol

ADULT

AEMT
  • Consider IV/IO Access protocol
Paramedic
  • Suspected Tension Pneumothorax
    • Chest trauma, hypotension, tracheal deviation
    • Needle decompression of affected side

Pediatric (not to exceed adult dose)

AEMT
  • Consider IV/IO Access Protocol
Paramedic
  • Suspected Tension Pneumothorax
    • Chest trauma, hypotension, tracheal deviation
    • Needle decompression of affected side