Question

EMS brings a 24-year-old with penetrating chest trauma and hypotension. Exam shows absent breath sounds and tracheal deviation. Best immediate action?

Accepted Answer

Needle decompression at 5th intercostal space anterior to midaxillary line

Answer

Endotracheal intubation first

Answer

Chest radiograph then chest tube

Answer

Needle decompression at 2nd intercostal space midclavicular line using short needle

Answer

High-flow oxygen only

Practice question

EMS brings a 24-year-old with penetrating chest trauma and hypotension. Exam shows absent breath sounds and tracheal deviation. Best immediate action?