A 32-year-old firefighter presents with multiple injuries af…
A 32-year-old firefighter presents with multiple injuries after an explosion. She is gasping for air and complaining of severe light-headedness and weakness. She is breathing shallow and has equal lung sounds. During the explosion, a piece of wood pierced her thoracic wall at the fifth intercostal space along the left sternal border. She is confused, cyanotic, and JVD is present. Her apical impulse is diminished. Vital signs are BP 90/80, P 130, and R 30. You suspect
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