A young male met with A, the patient is dyspnoea on auscultation breath sounds are absent on right side and has hypotension. What is immediate next step?
Clinical history is suggestive of diagnosis of Tension Pneumothorax Conscious + Speaking Single words Dyspnoea Tachypnea Low BP Absent breath sound on one side Management: Clinical dx with dire emergency: T/t should be never delayed for radiological confirmation. Hence, CXR is not performed. T/t of choice: Intercoastal Chest Tube inseion - 5th ICS (Triangle of Safety) in anterior axillary lines
Urgent IV fluid administration
Intubate the patient
Chest X-ray
Needle inseion in 5th intercostal space
FMGE 2019