Chest Trauma *Peppermint Patty was hit in the left chest wall by a softball line drive. She felt a "pop" and thinks some of her ribs were broken. She has a heart rate of 100 beats per minute, blood pressure of 90/60, and distended neck veins. She is working very hard to breathe and you note cyanosis around her lips. Lung sounds are decreased on the left chest wall.