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A 42-year-old man presents following a domestic stabbing incident. He appears to have received two knife wounds below each scapula whilst asleep on his stomach in bed. His paramedic observations are sats 100% (on high-flow oxygen), P 80, BP 115/65, RR 26. He is alert, orientated and anxious.
In general, what three life-threatening injuries should you exclude promptly in patients with penetrating chest trauma?
His FAST pericardial view appears normal; what does his chest x-ray show (Click the image to see a larger version)?
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Describe your further management.