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Breathing

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

When assessing breathing, simply observing the patient may quickly reveal an obvious chest wound or the paradoxical movements of a flail chest segment. If there is severe brain stem damage, or breathing is insufficient to maintain oxygenation, ventilation will be required. A breathing rate less than 12 or greater than 28 per minute indicates significant abnormality.

Rapid examination should quickly pick up the following life-threatening chest injuries, and treatment should be expedited immediately:

  • sucking chest wound
  • tension pneumothorax
  • haemothorax
  • large flail segment
  • cardiac tamponade - this is also considered under circulation assessment

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