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Avoid Unnecessary Intubation
- Do not intubate chest trauma patients unless absolutely necessary to avoid complicating their condition.
- Allow spontaneous breathing to continue as positive pressure ventilation can worsen pneumothorax.
Bullet Can Cause Remote Injuries
- A patient with a low-caliber gunshot wound had multiple internal injuries away from the entry site.
- This illustrates that penetrating trauma can cause widespread and unpredictable internal damage.
Needle Only Tension Pneumothorax
- Only needle a chest if there is a tension pneumothorax with complications like hypoxia or hypotension.
- Do not needle a pneumothorax without signs of tension; all tension pneumothoraces must be needled.