![]() Anteriorly, the first seven rib pairs directly connect to the sternum through cartilaginous attachments. The first rib pair lies just under the clavicles. Twelve pairs of ribs connect posteriorly to the spinal column vertebrae with bands of ligaments that hold them in place. The thoracic or chest cavity is cylindrical in shape, and contains organs of the cardiovascular, respiratory and gastrointestinal systems. Together they make up almost 20 percent of all major trauma cases. The most common causes of penetrating trauma are from stabbing and gunshots. The most common cause of blunt force chest injuries is the motor vehicle crash, accounting for 70-80 percent of such injuries. Approximately 16,000 deaths occur from chest trauma annually. Over 100,000 people die from trauma every year in the U.S. It is critical that EMS providers rapidly recognize and, when necessary, treat and transport chest injuries without delay. Chest injuries range from minor abrasions and contusions, to major blunt and penetrating traumatic events that cause compromise to the airway, breathing and/or perfusion. The thoracic, or chest area of the body contains major organs and structures essential to human survival and well-being. Jugular venous distention was noted, and radial pulses were weak and thready. Auscultation of the chest revealed near-absent lung sounds over the right side. The pulse oximeter provided an initial reading of 79 percent on room air. As they disrobed the patient, they determined that the patient was dyspneic, with rapid breathing. Under the bright lights of the patient care compartment, the crew noted the man was neatly dressed, although his jacket was torn and his shoes were missing. With resignation, the medics lift the patient onto their gurney and wheeled him into their unit. The man responded by grunting and feebly trying to push them away. ![]() Knowing that the area is frequented by homeless people, the crew made an attempt to awaken him, first verbally and then with a painful stimulus. I want to make it strong and healthy to 120 years old.At 0200 hours Medic 772 is dispatched for a report of a “man down.” The crew arrives to find a young male on the sidewalk, apparently sleeping and lying on his side. connection? I don't know what to try next. could this be connected? I do have sleep apnea. ![]() Could I have picked something up? My family has a history of acid reflux. I do travel all over the world for pleasure and business. ![]() Really? I do cough a bit at times, but not bad. She thinks it is not lung related, but the sound is in my throat. Now one Doc says it may be a nasal infection, and to do the nasal flush morning and night. Upon quitting the steroids, it came right back. It gave me insane insomnia, my throat condition flared up, and would choke me on every piece of food I tried to eat. I tried a steroid inhaler 2 months ago, and the crackling really began going away, until I had to stop it. Basically, they say I am fine, and it is nothing to worry about. ![]() All 100%! Many have listened to my breathing front and rear with a stethoscope, and say it is totally clear. My doctors have taken chest x-rays, I have had a breathing test for amounts I take in and how much I put out, and the pressure I can push out with. It has slowly gotten worse over time, and worse if I lay on my left side. I began about a year ago getting a slight wheezing/crackling from my breathing when I lay down in bed at night. I have also always had bad seasonal allergies all my life. But, I have no problems with it at all if I stay away from alcohol, caffeine and steroids. I have something called EE where my throat tightens up with gummy foods like sticky rice, potatoes, etc. I can exercise, take long walks and hikes with no problem. I am a healthy 55 year old guy in Sacramento CA, but feel 35. I seem to have Rice Krispies in my lungs when I lay down at night. ![]()
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