Pneumothorax

SMLE - B 15.10.2021 12:45:38

Patient 28 y had MVA with no obvious external bleeding presented with decreased air entry in let side. And hypotensive tachycardia tachypnea and tachycardia most appropiate management ?

A-Thoracotomy

B-Neddle thoracostomy

C-Thoracic tube insertion

D-Pericardiocenthesis

17:38

Pneumothorax

A 35 year-old car driver crashed into a concrete block without a safety belt on. Thirty minutes after and on the way by ambulance to the hospital he begins to become breathless. On administration of 100% oxygen there is not much improvement in this condition. On arrival at the Emergency Department he has lost consciousness and appears cyanosed with markedly distended jugular veins. Blood pressure 80/40 mmHg Heart rate 120/min Respiratory rate 34/min Temperature 36.6°C Oxygen saturation 60% on room air What immediate action should be taken?

A Intubation and 100% oxygen

B. Rapid infusion of crystalloid

C. Needle decompression

D IV 0.2 mg adrenaline

lost consciousness = GSCs <8

Needle decompressions before intubation alw

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