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Lung over-expansion injuries are most commonly found in Scuba diving accidents and normally occur as a result of holding your breath while ascending. The gas inside the lungs expands as the diver ascends and if the pressure is not released through exhaling then the lung can rupture. Depending on where the rupture occurs depends on the severity of the injury and it's classification. There are 4 main types (classifications) of lung over-expansion injuries...

- air embolism - Air entering the blood stream through the alveoli.

- mediastinal emphysema - Air escaping into the chest cavity and putting pressure on the heart as well as other organs.

- subcutaneous emphysema - Air trapped under the skin, normally collecting around the neck or collar bones.

- pneumothorax - Air entering the lung sack and collapsing a lung.

Symptoms may improve when the patient is treated with emergency oxygen on the dive boat but any lung over-expansion injury should be considered life threatening and will need to be treated in hospital.

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