A middle-aged male patient has been stabbed once in the right anterior chest. His airway is patent, respirations tachypneic, pulse weak and rapid, and skin cool and diaphoretic. Breath sounds are clear on the left and severely diminished on the right. JVD and tracheal deviation are present. His SpO2 is 93% on supplemental oxygen via BVM. The vital signs are pulse, 140 beats/min; respirations, 28 breaths/min; and blood pressure, 100/78 mmHg. Your next action should be to:

A) Call for an ALS intercept en route to the ED and lift the dressing to see if air escapes during exhalation
B) Attempt to relieve the tension while awaiting ALS arrival at the scene
C) Await the arrival of ALS to "burp" the dressing between ventilations
D) Initiate positive pressure ventilation utilizing FROPVD

A) Call for an ALS intercept en route to the ED and lift the dressing to see if air escapes during exhalation

Health Professions

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