Stove in Chest

Done by Asma Al-Raey

 Stove in Chest

Definition
Depression of a portion of the chest wall due to severe chest
injury, which contributes to forming a flail segment.
 Stove in Chest
Symptoms
Severe chest pain

Difficulty breathing

Tenderness in the area of your chest where the

bone has come away

Uneven rising and falling of your chest when

breathing
 Stove in Chest

Chest compressing such as CPR

Traumatic injuries

Traumatic (Hitting the chest

without penetrating of skin)
Treatment
Causes
Surgical stabilisation

Internal pneumatic fixation

physiologic stabilisation with

intubation and IPPV must be
initiated.
Before hypoxia develops
 Stove in Chest

The stove in the chest is diagnosed Pulmonary injury that

01
01 by physically. examination and the leads to pneumothorax
usual movement of your chest well
while you breathe

Complication
Diagnosis
02 X-ray Shock of the tracheobronchial 02

The effect of diaphragm

03 Chest radiography, CT-scan will
leads to coils of bowel within 03
show multiple ribs fracture
the thorax
COMPLICATION OF PATHOLOGICAL
DONE / Alaa Ameen Al-awadhi
 COMPLICATION OF PATHOLOGICAL

Definition
Morbidity and mortality associated with thoracic trauma are
due to the disruption of respiration , circulation, or both.
 COMPLICATION OF PATHOLOGICAL
Diagnosis
The common outcome is the development of
ventilation-perfusion mismatch and decreased
pulmonary compliance , this then results in
hypoventilation and hypoxia , which may
necessitate intubation .
Respiratory compromise can occur due to
direct injury to the airway or lungs , as is the
case with pulmonary contusions , or from
interference in the mechanics of breathing , as
with rib fractures .
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Complications of cardiac injury

Circulatory compromise occurs in the setting of significant
blood loss , decreased venous return , or direct cardiac
injury .
 COMPLICATION OF PATHOLOGICAL

Complication of hemothorax
Intrathoracic bleeding most commonly manifests
as hemothorax in both blunt and penetrating
trauma , and a massive hemothorax can lead to
hypotension and hemodynamic shock .
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Complications of pneumothorax
The main symptoms of a pneumothorax are sudden chest
. pain and shortness of breath

The severity of symptoms may depend on the extent of

. the lung atelectasis
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Complication of lung injuries

Bluish coloring around nails and lips , this means
. there is a lack of oxygen in the blood

Chest pain , often when you inhale

Cough, Fever , Fast heart rate

Shortness in breath
Pneumothorax
Done by Nora Al-shoaibey
 Pneumothorax

Photo for Pneumothorax

 Pneumothorax

Definition
 Pneumothorax

What is a pneumothorax?

The air enters via a defect in the visceral

pleura (e.g. ruptured bulla) or the parietal Air within the pleural cavity (i.e. between
pleura (e.g. puncture following rib fracture) visceral and parietal pleura)
 Pneumothorax

Types of Pneumothorax
Simple
Mediastinum remains central
Clinical condition stable
Can wait for CXR to confirm diagnosis

Tension
Clinical condition unstable.
Progressive build up of air in the pleural space, causing a
shift of the heart and mediastinal structures away from
side of pneumothorax.
Do not wait for CXR to confirm diagnosis.
Pneumothorax
Pneumothorax
Pneumothorax