A 28-year-old man involved in a high-speed motor vehicle collision becomes acutely hypoxic and hypotensive with distended neck veins and absent breath...

Question

A 28-year-old man involved in a high-speed motor vehicle collision becomes acutely hypoxic and hypotensive with distended neck veins and absent breath sounds on the right. What is the most appropriate immediate management?

Accepted Answer

Perform needle decompression of the right chest followed by intercostal catheter insertion

Answer

Request urgent chest X-ray before intervention

Answer

Insert a large-bore IV cannula only

Answer

Give high-dose IV diuretics

Answer

Place him in Trendelenburg position and observe

au-amc MCQ (SBA): Tension pneumothorax

A 28-year-old man involved in a high-speed motor vehicle collision becomes acutely hypoxic and hypotensive with distended neck veins and absent breath sounds on the right. What is the most appropriate immediate management?