A 30-year-old is involved in a high-speed RTA. He has dyspnoea, absent breath sounds on the right, and tracheal deviation to the left. Which intervent...

Question

A 30-year-old is involved in a high-speed RTA. He has dyspnoea, absent breath sounds on the right, and tracheal deviation to the left. Which intervention is needed urgently?

Accepted Answer

Immediate needle decompression in the 2nd intercostal space mid-clavicular line on the right

Answer

Immediate chest drain on the right 5th intercostal space mid-axillary line

Answer

High-flow oxygen and wait for imaging

Answer

Needle decompression in the left 2nd intercostal space mid-clavicular line

Answer

Oral intubation only

Emergency medicine & Acute presentations — MRCEM SBA MCQ

A 30-year-old is involved in a high-speed RTA. He has dyspnoea, absent breath sounds on the right, and tracheal deviation to the left. Which intervention is needed urgently?