You are performing a secondary assessment on your 19-year-old trauma patient with a severely bruised trunk and signs of damage to the ribs and sternum. he is coughing up frothy red blood and having difficulty breathing. what injury do these signs point to?

How does upwelling affect coastal fisheries? upwelling damages nutrient supplies at coastal fisheries as the warm, nutrient-rich surface water is replaced by nutrient-poor, cold water. upwelling damages nutrient supplies at coastal fisheries as the cold, nutrient-rich surface water is replaced by nutrient-poor, warm water. upwelling improves the nutrient supply at coastal fisheries as the warm, nutrient-rich surface water replaces the nutrient-poor, cold water. upwelling improves the nutrient supply at coastal fisheries as cold, nutrient-rich water replaces the warm, nutrient-poor surface water.