RT Book, Section A1 KAMINE, TOVY HABER A1 BUTLER, KATHRYN A2 Butler, Kathryn L. A2 Harisinghani, Mukesh SR Print(0) ID 1108261275 T1 PENETRATING TRAUMA T2 Acute Care Surgery: Imaging Essentials for Rapid Diagnosis YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071831208 LK accesssurgery.mhmedical.com/content.aspx?aid=1108261275 RD 2024/04/20 AB A 25-year-old man is brought the emergency room by emergency medical services (EMS) directly from the scene of a shooting. On arrival in the trauma bay he is awake and confused, but protecting his airway. He has decreased breath sounds on the right side, and a palpable femoral pulse. His vital signs are significant for tachycardia to 140, a blood pressure of 90/40, tachypnea, and an oxygen saturation of 88% on 4-L nasal cannula. A chest film shows a right-sided hemopneumothorax. A tube thoracostomy is performed with return of air and 500 cc of blood, and improvement in his mental status and vital signs.