A conscious & alert adult was struck in the anterior chest b…
A conscious & alert adult was struck in the anterior chest by a piece of heavy machinery and is c/o of severe midline precordial chest pain (9/10). Ventilations are unlabored at a normal rate; breath sounds are clear and equal bilaterally; heart sounds S1 and S2. Radial and femoral pulses are equal, rapid and irregular; ECG ST w/ PVCs; SpO2 96%; jugular veins are flat. There is redness and bruising over the sternum with point tenderness to palpation but no crepitus. Chest expansion is equal with no paradoxical movements, no difficulty swallowing, or variation in BP between the arms.What injury should be suspected?