Given the patient's worsening condition, including labored respiration despite normal oxygenation and a stable radial pulse, it is crucial to consider potential complications such as pneumothorax, hemothorax, or other thoracic injuries related to the explosion. Immediate assessment through imaging, such as a chest X-ray or CT scan, is necessary to identify any internal injuries. Additionally, monitoring vital signs and providing supportive care, including supplemental oxygen and potential intubation, may be required depending on the severity of respiratory distress. Prompt intervention is essential to address any life-threatening conditions.
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