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Patient has tension pneumothorax and circulatory insufficiency. Releasing tension pneumothorax is a priority. Subsequently, we should examine patient for bleeding. Maintenance of adequate perfusion is needed. One should perfuse adequately to avoid excess fluids causing pulmonary edema.
A neurogenic shock will also need reperfusion to begin with. Vitals should be monitored regularly including peripheral pulsation.
Psychosocial stressors for the patient will be becoming bed-ridden, unable to manage his or her own bowel and bladder, and unable to feel the four limbs and torso.
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