A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words.RR= 40/ minute, BP= 90/40mm Hg. What is the next immediate step in management?
(A) Intubate the patient (B) Urgent fluid infusion (C) Chest X- ray (D) Needle inseion in 2nd ICS
(D) Answer- D. Needle inseion in 2nd ICSThis is a case of pneumothorax. Although the new ATLS update is 5th intercostal space in mid axillary line but in this question we will go with a time tested method of needle in the 2nd ICS.