1. CLINICAL ALGORITHM FOR THE MANAGEMENT OF PATIENTS WITH INJURIES TO THE CHEST WALL Next step in the algorithm

2. IS PT INTUBATED ? YESNO

3. Monitor: pain management in consultation with multidisciplinary team secretion viscosity and ensure adequate humidification CLINICAL GUIDELINE Next step in the algorithm

4. Initiate therapy to include Position pt in high sitting progressing to chair Localized DBE Shoulder ROM Suction EXPERT OPINION Frequency Initiate program ASAP after placement of ICD Patients seen two times / day RECOMMENDATION 1 Previous step in the algorithm

5. Monitor pain management in consultation with multidisciplinary team CLINICAL GUIDELINE Next step in the algorithm

6. Assessment of pt as alert hemodynamically stable presenting with unilateral damage to chest wall RECOMMENDATION 2 Next step in the algorithm Previous step in the algorithm

7. Discuss with multidisciplinary team the possibility of CPAP intervention (at least 6 hours/day) RECOMMENDATION 2 Next step in the algorithm

8. Initiate therapy to include: DBE; Shoulder ROM Ambulation Directed cough Frequency Initiate program ASAP after placement of ICD Patients seen two times / day RECOMMENDATION 1 Previous step in the algorithm