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meeting wk 1, increased pressure on the pericardial sac leading to reduced diastolic volume, rupture of parietal pleura leads to bleeding into pleural space, internal blood loss (less than 2 units?) leads to bleeding into pleural space, pleural space leading to increased pressure on the pericardial sac, pleural space which dulls heart sounds, reduced diastolic volume which leads to reduced CO, collapse of left lung leading to increased pressure on the pericardial sac, rupture of the visceral pleura results in collapse of left lung, several broken ribs on left anterior chest causes rupture of intercostal vessels, internal blood loss (less than 2 units?) contribute to hypotension