A 24-year-old man is brought in after a high-speed motor vehicle collision. He is hypotensive, tachycardic and has absent breath sounds on the right w...

Question

A 24-year-old man is brought in after a high-speed motor vehicle collision. He is hypotensive, tachycardic and has absent breath sounds on the right with tracheal deviation to the left and distended neck veins. What is the most appropriate immediate management?

Accepted Answer

Needle decompression of the right chest followed by chest tube insertion

Answer

Obtain urgent CT of the chest

Answer

Administer high-flow oxygen and observe

Answer

Intubate and ventilate without chest intervention

Answer

Give intravenous fluids and wait for imaging

ca-mccqe1 MCQ (SBA): Tension pneumothorax management

A 24-year-old man is brought in after a high-speed motor vehicle collision. He is hypotensive, tachycardic and has absent breath sounds on the right with tracheal deviation to the left and distended neck veins. What is the most appropriate immediate management?