A 27-year-old motorcyclist is involved in a high-speed collision with an oncoming car and is thrown 20 meters. The ambulance team immobilizes his cervical spine. On arrival in the emergency department, the victim is alert. The heart rate is 130 bpm and blood pressure is 70/40 mmHg.

His trachea deviates to the left, his right hemithorax is hyperresonant to percussion, and the respiratory rate is 42 breaths per minute. He is speaking in single-word sentences. Source: Surgical Intervention Synap