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Ben Johnson 1, car crash - high velocity impact with steering wheel air bag did not deploy, no breath sounds on left side causes shallow breaths, shortness of breath, no breath sounds on left side causes increased resistance in pulmonary circulation, atelectasis decrease ventilation, decreased cardiac output causes hypotension, decreased perfusion leads to hypoxemia, fluid in alveolar space decreases volume of air available for gas exchange, tension pneumothorax leads to increased pressure in left side, vascular resistance leads to decreased perfusion, diminished breath sounds on right causes increased respirations