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Surgery
Steering wheel injury on chest of a young man reveals multiple fractures of ribs and paradoxical movement with severe respiratory distress. X-ray shows pulmonary contusion on right side without pneumothorax. What is the initial treatment of choice?
Immediate internal fixation
Endotracheal intubation and mechanical ventilation
Thoracic epidural analgesia and O2 therapy
Stabilization with towel clips
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