An unrestrained female driver hit a utility pole at a moderate rate of speed and struck the steering wheel with her chest. Her airway is open, and she states that it is painful to breathe. Her pulse is moderate in strength and irregular. Breath sounds are equal bilaterally, and there is no jugular venous distention noted. Assessment of her chest reveals bruising and instability to the sternum. When asked, she denies any past medical history. Based on this mechanism and assessment findings, the EMT should be suspicious for what condition?

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The mechanism of hitting the steering wheel with her chest and presenting with a moderate strength and irregular pulse, along with chest bruising and instability to the sternum, are indicative of a cardiac contusion. This is a potentially life-threatening condition that requires immediate medical attention. Pneumothorax and tension pneumothorax may present with similar symptoms but are less likely given the assessment findings. Traumatic asphyxia is characterized by a distinct pattern of injuries to the head, neck, and upper chest, which are not mentioned in this scenario.

An Unrestrained Female Driver Hit a Utility Pole at a Moderate