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06 / Trauma & Acute Care Surgery · foundations

The chest that has no breath sounds

  1. ED
  2. Consult
  3. Investigations
  4. OR
  5. Ward
  6. Debrief

Primary survey, B

Airway intact, he is speaking in single words. The right chest is hyperexpanded and silent, hyperresonant to percussion; the trachea deviates left. HR 128, BP 88/54, SpO2 85% on high-flow oxygen.

Open in 3D: the lung and pleural space

The next sixty seconds are for:

SurgSpace TutorContext-aware, and it will not spoil the case.