During a trauma assessment, how should breathing be evaluated?

The evaluation of breathing during a trauma assessment is critical and should be comprehensive. Assessing for chest rise provides visual confirmation of effective ventilation, as it indicates that the lungs are expanding and contracting appropriately during inhalation and exhalation. Listening for breath sounds is equally important because it helps to identify any abnormalities such as wheezing, crackles, or absent breath sounds, which can signal underlying issues like pneumothorax, hemothorax, or bronchospasm. Palpating for abnormalities, such as subcutaneous emphysema or rib fractures, gives further insight into potential underlying injuries affecting the respiratory system.

This comprehensive approach allows for a systematic assessment of the airway and breathing status, ensuring that any conditions requiring immediate intervention can be identified and addressed promptly. Recognizing the importance of each component of this assessment helps in making critical decisions regarding treatment and transport to definitive care.