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RecognitionoftheDeteriorating PatientandPreventionof ...

movements are usually strenuous. The accessory muscles of respiration will be involved, causing a ‘see-saw ’ or ‘rocking-horse ’ pattern of chest and abdominal movement: the chest is drawn in and the abdomen expands on inspiration, and the opposite occurs on expiration. Treatment The priority is to ensure that the airway remains patent.

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