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In paramedic school, we’re taught the classic signs of a tension pneumothorax: Absent breath sounds on one side Distended neck veins Hypotension Tracheal deviation away from the affected side But if you’re waiting to see tracheal deviation before acting, your patient is already in critical trouble. As air accumulates under pressure in the pleural space, it collapses the affected lung and pushes the mediastinum, the heart, trachea, and great vessels, toward the opposite side. This causes: Compres
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