ATI Chapter 26 Review: Advanced Med-Surg – Pneumothorax, Hemothorax, and Flail Chest

In this Advanced Med-Surg episode, we review ATI Chapter 26, which focuses on the assessment and management of acute thoracic injuries, including pneumothorax, hemothorax, and flail chest. We’ll review how trauma or underlying pathology can lead to lung collapse, impaired ventilation, or chest wall instability, with particular emphasis on the rapid recognition and treatment of tension pneumothorax. The episode highlights priority nursing assessments such as respiratory distress, asymmetrical chest movement, diminished or absent breath sounds, and changes in oxygenation. You’ll also hear an overview of key medical and nursing interventions, including chest tube placement, thoracentesis, mechanical ventilation, and pain management strategies using analgesics and sedatives. Patient-centered care and discharge education are emphasized to support recovery and prevent complications. This episode provides an exam-ready review to help nursing students recognize life-threatening thoracic conditions and deliver timely, evidence-based care.Source: All information in this podcast is based on ATI Advanced Medical-Surgical Nursing, Chapter 26