Page 299 - Critical Care Nursing Demystified
P. 299

284        CRITICAL CARE NURSING  DeMYSTIFIED











                                                                  Injured
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                                               INHALATION
                                         • Injured chest wall collapes in
                                        • Uninjured chest wall moves out








                                                                                         Injured                Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
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                                                                     EXHALATION
                                                               • Injured chest wall moves out
                                                               • Uninjured chest wall moves in
                            FIGURE 6–2  •  Flail chest with paradoxical chest wall movement.




                            Hallmark Signs and Symptoms
                               Bruising around the areas covered by seat belts
                               Paradoxical movement in the area of flail

                               Crepitus in the chest areas
                               Severe chest pain in the location of the injury
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