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Scenario: The Gym Debrief

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Jerry is now recovering in hospital after your interventions.

Debrief:

He had lost his grip on the bar after his spotter had left the room. The bar

along with the full weights then landed on his chest. As one hand had given

out before the other the bar had swung down onto the left side of his rib

cage.

The resulting blow damaged the wall of the lung and intitiated a tension

pneumothrax. Some fractions of a second later the rest the weight bar

hit down as well. This impact caused traumatic asphyxiation as seen by

the reddened face and the bloodshot eyes. Neck vein distension is a sign

of both the asphyxiation and the tenson pneumothorax.

As Jerry has a history of TIA you couldn't rule out a reoccurance or a bleed

caused by the sudden increase of pressure. No signs of head injury were

presented though it wasn't ruled out.

From the chest and head injury, analgesia becomes a difficult choice from

the limited drug kit available.

The priority, which was well handled, was the treatment of the tension

pnuemothorax by needle decompression.

Apart from the tension pnuemothorax, the only other injuries sustained

were heavy bruising to the chest and a sprained right wrist.

Well done to all who replied.

Ross Boardman

editor@...

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