Ventilator Graphic Interpretation

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A 24-year-old male was admitted to the emergency department of St Alphonsus Regional Medical Center, Boise, Idaho, a regional trauma center, on February 14, 2001. He had been the lone, unrestrained victim of a motor-vehicle accident and had sustained numerous injuries, including a closed head injury with severe facial injuries and missing teeth. He had fractures of the first three ribs on the right side and several other orthopedic injuries. He had been orally intubated by paramedics with an 8-mm endotracheal tube. A chest radiograph found the tube to be in the right main stem bronchus; the radiograph also showed pulmonary edema and left lower lobe contusion. The endotracheal tube was withdrawn to the appropriate position, and other diagnostic and resuscitative efforts continued in the emergency department.

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