A young motorist suffered injuries in a major road traffic accident He was diagnosed to have fracture of left femur and left humerus. He was also having fractures of multiple ribs anteriorly on both the sides. On examination the blood pressure was 80/ 60 mm Hg. and hea rate was 140/minute. The patient was agitated, restless, and tachypnoe Jugular veins were distended. Air entry was adequate in both the lung fields. Hea sounds were barely audible. Femoral pulses were weakly palpable but distalty no pulsation could be felt. On priority basis, the immediate intervention would be
A chest tube is a flexible plastic tube that is inseed through the chest wall and into the pleural space or mediastinum. It is used to remove air, fluid, or pus from the intrathoracic space. It is also known as a Bulau drain or an intercostal catheter Ref Harrison 20th edition pg 1423
Rapid blood transfusion.
Urgent pericardial tap
Intercostal tube drainage on both the sides.
Fixation of left femur and repair of femoral aery.
C.V.S