A 40yearold smoker presented to the A & E department with sudden onset of severe shortness of breath, his respiratory rate was 36/min, O2 Saturation at room air was 82%,heart rate 136/min, Blood pressure 80/55 mmhg. He was profusely sweating, neck veins were distended, on auscultation there was reduced air entry on the right hemithorax.
What is the most appropriate next best step
a)Do a Chest Xray
b)Insert a partially saline filled syringe at right 2nd I.C Space
c)Call to arrange a chest drain
d)CT Chest
e)Give Streptokinase
Answer : B)Insert a partially saline filled syringe at right 2nd I.C Space. (case of tension pneumothorax. This needs to be done even before ordering a chest xray.)
What is the most appropriate next best step
a)Do a Chest Xray
b)Insert a partially saline filled syringe at right 2nd I.C Space
c)Call to arrange a chest drain
d)CT Chest
e)Give Streptokinase
Answer : B)Insert a partially saline filled syringe at right 2nd I.C Space. (case of tension pneumothorax. This needs to be done even before ordering a chest xray.)
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Hmm. Nice blog.. Thanks
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