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In the chest Trauma pt after secure the air way

Assess the breathing by Look\Feel and Listen

*Look for chest movement and it is symmetry [if there is paradoxical movement it indicates flail chest \if there is area moving less it indicates hemo or pneumo thorax

*Feel the chest expansion and percuss to detect any abnormality[if there is hyperresonance it indicates pneumothorax but if there is dullness it indicates heamothorax]

*Listen for decreased air entary

Note

The most important examination approach is the percussion because ih differentiate between the heamothorax and pneumothorax

So if you managing chest Trauma case when to insert the chest tube??