clincomedic

I have and will stop in both of my response venues. I have help out on a couple of MVA's. If it's not in my response venue I become another cellphone samaritan and give dispatch the best info possible.

Ok , I'll start off with the call. in town two vehicle MVA. pt was hit in passanger door. pt had obvious broken clavicle. upon extrication one off duty medic thought there might be tracheal deviation. pt loaded and lung sounds were listen to by a student who stated absent in upper right side ( broken clavicale side). off duty medic stated he didn't think he could hear anything. My boss was on working with the fire department at the time and was standing at the door. never came in. pt was only comlaining of pain to shoulder. no SOB. vitals stable. breaths 20 non labored. O2 sats 97% room air. 99% 15L/NRB. my boss wanted me to pop his chest. I was the medic that was accutually on the truck. so it was my patient. I had not personally listened to the pt lung sounds yet. after we left I was able to listen. I heard decreased lung sounds and the trachea look like it was to the left. but his right shoulder was closer to midline than normal. still no problems breathing. so I did not pop him. upon arrival at the ED Doc checked the lung. sounds were decreased, but there. He was going to put in a chest tube but the xray came back and there was no pnuemo only the pt shoulder pressing on the lung. so good call righ?....no my boss believes i should have popped him. he has told everyone in the station and police department that I made the wrong call and he now questions my pt care. I believe that if i popped him i would have caused undue pain to the pt and possible other complications. My boss being the >>>UUMMM>> boss he is has yet to talk to me about this. He has only roasted me in the court of public opinion. I guess my questions are ..Am I wrong or did I do right by not doing more harm than good? and How would you handle this situation?