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8/12/2019 Sinus Barotrauma Todo
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BAROTRAUMA
6 F
2014
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PULMONARY OVER INFLATIONBAROTRAUMA
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RUPTURE OF ALVEOLI
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Fast ascent
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Pulmonary syndrome by overpressure
1. Distension with local lesions 2. Mediastinal emphysema
3. Subcutaneous emphysema 4. Pneumothorax 5. Arterial gas embolism.
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Mediastinal emphysema
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Physical exam
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Signs and symptoms
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Treatment
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SINUS BAROTRAUMA
This form of sinus can occur onascent when some form of openingsprevents expanding gas fromescaping
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ASESSMENT Examine the nose for download rhinorrhea
SIGNS AND SYMPTOMS Severe pain over the affected sinus
Bloody discharge
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MANAGEMENT Treat for epistaxis by pinching firmly on the
fleshy part of the patients nostrils
Transport in a positions of comfort.
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INTERNAL EAR BAROTRAMA
Occurs when a diver descends and has failedattempts to equalize the middle ear
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ASSESSMENT Examine the ear canal for any discharge
SIGNS AND SYMPTOMS
Vertigo
NauseaDisorientation
Ataxia
Vomitingdiaphoresis
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MANAGEMENT
The patient should avoid strenous activitiesand loud noise whith no pressure change.
Transport in upright position
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ALTERNOBARIC VERTIGO
It occurs as expanding gasmoves through theEustachian tube andunequal pressure developsin the middle ear.
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ASSESSMENT ;Examine the ear canal, assessany hearing loss.
MANAGEMENT: No specific intervention isrequired no transport is needed if symptomsresolve quickly.
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GASTROINTESTINAL SQUEEZE
This occurs when
expanding gas in the gutbecomes trapped .
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ASSESSMENT:examine the abdominalquadrants.
sign and symptoms include abdominalfullness, belching and flatulence.
MANAGEMENT: Gastrointestinal squeezenormally resolves on its own and rarely needsmedical attention.
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subcutaneous emphysema
air leak from a ruptured alveoliand conitua to top from the neckand clavicle.
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examinationexamine the lung
fieldsdecrease in respiration
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symptoms
hoarseness swellingcrepitacias difficultyswallowing
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TREATMENTvital signs monitoringverify saturationplacement of 2 to 4 liters per minute
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AIR EMBOLISM
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is a blockage of the arterial vessel by a gaspiston. which is produced by nitrogen.
is easily detectable by an intense whistle(swirl noise) produced when blood and airare mixed
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Air embolism is an accident that usually occursin diving
These nitrogen bubbles obstruct blood vessels
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Signs and symptoms
Dyspnea
cyanosis
Tachypnea
chest tightnessStupor
hemiparesis
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GRACIAS!!!!