Chest pain and breathless after a car accident

A 25 year old female, was transported via ambulance to the emergency room after being
involved in a serious car accident in which the air bag develoyed. Upon examination, she
complained of severe chest pain, the inability to catch her breath, and said she could feel her
heart racing. In addition to this, her color was bluish and when the physician placed his
stethoscope over her left chest he did not hear any breath sounds. In addition to this, he heard
hyperresonance (higher pitched sounds than normal) when he tapped on her chest. The patient
also appeared to be extremely panicked and anxious. Her vitals were obtained upon arrival to the
hospital and an arterial blood gas was also ordered. Blood pressure: 140/90 mmHg, Heart rate:
102 bpm, respiratory rate: 25 breaths/min. arterial blood gas result were pH: 7.33, PaO2: 60
mmHg, PaCO2: 55 mmHg, SaO2: 75% (normal 98-100%). A chest x-ray was also ordered and
result was below. This is a very serious condition and can result in death if not treated
immediately.

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Nyeri dada dan sesak napas setelah kecelakaan mobil

Seorang wanita berusia 25 tahun, diangkut oleh ambulans ke ruang gawat darurat setelah terlibat
dalam kecelakaan mobil yang serius di mana kantong udara berkembang. Setelah diperiksa, dia
mengeluh sakit dada yang parah, ketidakmampuan untuk menarik napas, dan mengatakan dia
bisa merasakan jantungnya berdetak kencang. Selain itu, warnanya tampak kebiru-biruan dan
ketika dokter meletakkan stetoskop di atas dada kirinya, dia tidak mendengar suara napas. Selain
itu, ia mendengar hyperresonance (suara bernada tinggi dari biasanya) ketika dia mengetuk
dadanya. Pasien juga tampak sangat panik dan cemas. Tanda-tanda vitalnya diperoleh saat tiba di
rumah sakit dan sebuah gas darah arteri juga dipesan. Tekanan darah: 140/90 mmHg, denyut
jantung: 102 bpm, laju pernapasan: 25 napas / menit. hasil gas darah arteri adalah pH: 7,33,
PaO2: 60 mmHg, PaCO2: 55 mmHg, SaO2: 75% (normal 98-100%). Foto rontgen dada juga
dipesan dan hasilnya di bawah. Ini adalah kondisi yang sangat serius dan dapat mengakibatkan
kematian jika tidak segera diobati.