You treated a 19 year old with a puncture wound to the chest by covering the wound with an impermeable dressing. Now, as you perform your ongoing assessment, you note that the patient is tachypneic and is complaining of difficulty breathing. Breath sounds on the side of the injury are also diminished. Which of the following actions should you take immediately?
a. Assist his breathing with a bag-valve mask.
b. Lift a corner of the dressing from the wound for a few seconds; then reapply and check his breath sounds.
c. Add another layer to the dressing.
d. Load the patient quickly and transport him to a higher level of care.
Answer: b
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