This 47-year-old male presented when multiple stones fell on him while he was breaking stones in a quarry. He experienced transient loss of consciousness and chest pain. There was no history of vomiting, seizures, ear, nasal or oral bleed, or dyspnea. On examination, pulse rate was 88 per minute, blood pressure was 120/84 mmHg and respiratory rate was 24 per minute. His chest and cardiac examination were normal, except for mild in-drawing of the intercostal muscles. There were no focal neurologic deficits. Local examination showed crepitus and tenderness over both clavicles and tenderness over both sides of the chest in the upper part.
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