Pulse Pressure and Tracheal Deviation

skyemt

Forum Captain
Messages
490
Reaction score
0
Points
0
I am wondering...

i am learning the significance of narrowing pulse pressures, with regards to reduced cardiac output....

specifically, with chest injuries, such as a Tension Pneumo, narrowing pulse pressure is a significant finding, indicating compression of the vena cavas...
in EMT class, we spent little to no time learning about this.

we spent a lot of time learning to look for tracheal deviation. the problem is, i am also learning that this is a very late sign, and even if present, almost all the time the deviation will be below the level that you can see without x-rays, rendering it an almost useless pre-hospital sign.

so, we don't spend much time on a sign that is very useful, but spend much time learning about something we will almost never see.

am i misunderstanding something here?
 
Last edited by a moderator:
There are a couple things that could cause narrowing pulses such as cardiac temponade,hemothorax, pneumothorax(like you said)....and its not just the pressure on the vena cavas because it is the actual pressure against the heart that would cause decreased cardiac output..and JVD..as a BLS provider the best you can do for this PT is to get them to the hospital as fast as you can safely with O2.. If I'm missing anything people just reply lol....
 
Back
Top