NREMT Trauma Practice Exam

The key idea is protecting the chest tube system and ensuring ventilation during transport. The chest tube and its occlusive dressing keep air from entering the pleural space, which prevents ongoing or worsening pneumothorax. If the chest seal is broken or the tube becomes disconnected, air can re-enter and lung collapse can worsen, potentially causing a tension pneumothorax. So, during transport you keep the chest seal intact, ensure the tube remains connected to the drainage system, and continuously monitor breathing and oxygenation. This approach prioritizes stability and rapid transport to definitive care. Delaying transport for a lengthy on-scene survey or focusing only on airway management neglects the chest injury and the tube’s critical role, making those options less appropriate.