Early intubation and pressure-controlled ventilation with 100% oxygen in case of insufficient spontaneous breathing (insufficient spontaneous breathing).
Immediate relief if tension pneumothorax is suspected (life-threatening form of pneumothorax in which there are problems with blood flow to the heart due to increased pressure in the pleural space, as well as restricted unfolding of each other’s lungs)
Storage
Responsive patients with dyspnea (shortness of breath): elevation of the upper body (50-60°), facilitating breathing.
Unconscious patients: stable lateral positioning on the injured side to spare the healthy side.
Shock positioning if volume deficiency is suspected.
Shock treatment
Wound care
Reassure patients
Remove constricted clothing
Cover patients
Conventional non-surgical therapy methods
Early chest drainage (synonym: pleural drainage; drainage system used to drain fluids and/or air from the chest (thorax)) for blunt chest trauma with hematothorax (accumulation of blood in the pleural cavity), pleural effusion (accumulation of water between the pleura and lung pleura)Cave: If blood loss via the drainage system continues (> 200 ml/h), surgery is required!
Volumetherapy with collodial solutions in addition to crystalloid (in a ratio of 1:2 )Note: Colloid solutions have more pronounced volume effects and a longer intravenous residence time than crystalloids.
