" ...Med student here so hair what I have with a grain of salt as I am not a physician yet and def not in trauma.
ATLS protocols for an open pneumothorax are to occlude the opening with a three way dressing and place one or multiple tube thoracostomies —> repair the defect in surgery. The reason is as you can see with this patient, open communication of the pleura with continuous outside air removes the negative pressure needed to inflate the lung. Mediastinal swing is present in which inhalation brings the mediastinum away from the affected side (leftward) and exhalation brings it towards the affected side, paradoxically.
The patient is observably tachypneic and will soon go into respiratory insufficiency if left like this. My guess is we are seeing him upright and on a line because we are seeing him get some pain relievers and initially evaluated before respiratory support was started.
The patient will need some kind of tissue grafts in a case like this so they’ll need to be on antibiotics, immunosuppressants and more. The muscle damage looks extensive but I’m not sure how much ortho could do to repair it.
However this guys injuries came about, they’ve definitely been cleaned up here."
#medyczneprzypadki i #nsfw #fake ?
