A 41-year-old woman is rescued from a vehicle fire with burns encircling the chest and upper abdomen. She is intubated and ventilated, but her peak airway pressure rises progressively and both sides of the chest move poorly despite equal breath sounds and a correctly positioned tube. Her blood pressure is falling and there is no tracheal deviation. Which one of the following should be undertaken next?
Keep going — a set of ten like this one, one at a time.
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