MARCH Breakdown – R = RESPIRATION 🫁
Once massive bleeding is controlled, air in and out matters—now.
Respiration focuses on life-threatening chest injuries that prevent effective breathing.
🔍 What you’re looking for:
  • Penetrating chest wounds (front or back)
  • Sucking chest wounds
  • Unequal chest rise
  • Rapid, labored, or shallow breathing
  • Chest pain or worsening respiratory distress
🛠️ Immediate actions:
  • Seal open chest wounds with a vented chest seal(If unvented: burp it if breathing worsens)
  • Expose and check the back—missed exit wounds kill
  • Monitor breathing continuously
  • Be alert for tension pneumothorax signs: Increasing difficulty breathing Anxiety / restlessness Diminished breath sounds on one side Worsening despite treatment
🧠 Mindset shift:
Respiratory problems can deteriorate fast. A patient who’s “okay right now” may not stay that way.
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Jonathan Lōser
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MARCH Breakdown – R = RESPIRATION 🫁
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