9. Each time we inhale,
the lung collapses further.
There
is no place for the air to
escape..
עקב הריאה של קריסה
הלחץ צבירת
בלחץ אויר חזהבלחץ אויר חזה
10. Heart is being
Compressed
ללב הדם כלי על לחץ
The trachea is
pushed to
the good side
קנה סטיית
בלחץ אויר חזהבלחץ אויר חזה
41. / בצלעות שברים/ בצלעות שבריםRib fracturesRib fractures
Most common thoracic injuryMost common thoracic injury
Localised pain, tenderness, crepitusLocalised pain, tenderness, crepitus
CXR to exclude other injuries & no. of fracturesCXR to exclude other injuries & no. of fractures
Decreases chest movement ,poor pulmonary hygieneDecreases chest movement ,poor pulmonary hygiene
Analgesia, physiotherapyAnalgesia, physiotherapy
Upper ribs, clavicle or scapula fracture: suspect vascularUpper ribs, clavicle or scapula fracture: suspect vascular
injury, brachial plexus damageinjury, brachial plexus damage
Mortality rate from isolated rib fractures can reach 10-Mortality rate from isolated rib fractures can reach 10-
20% in elderly20% in elderly
Less frequent with childrenLess frequent with children
42. / פשוט אויר חזה/ פשוט אויר חזהSimple PneumothoraxSimple Pneumothorax
Air in the pleural cavityAir in the pleural cavity
Blunt or penetrating injury that disrupts theBlunt or penetrating injury that disrupts the
parietal or visceral pleuraparietal or visceral pleura
Unilateral signs:Unilateral signs: ↓↓movement and breath sounds,movement and breath sounds,
resonant to percussionresonant to percussion
Confirmed by CXRConfirmed by CXR
Rx: chest drain Vs. close monitoringRx: chest drain Vs. close monitoring
Occult / decimal pneumothorax.Occult / decimal pneumothorax.
44. / ריאה חבלת/ ריאה חבלתLung contusionLung contusion
usually due to blunt traumausually due to blunt trauma
Large contusion = HypoxiaLarge contusion = Hypoxia
Contusion Vs. Aspiration Vs. hematomaContusion Vs. Aspiration Vs. hematoma
Avoid a lot of fluids, monitor SO2Avoid a lot of fluids, monitor SO2
PhysiotherapyPhysiotherapy