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Tension pneumothorax after trauma — RCPSC EM MCQ

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EasyTraumaTension pneumothorax after traumaRCPSC EM

CTAS 1. A 35-year-old is hypotensive after a stab wound to the chest. He has severe respiratory distress, tracheal deviation, absent left breath sounds, and distended neck veins. SpO2 is 82% despite high-flow oxygen. What is the most likely diagnosis?

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Correct answer: CTension pneumothorax

The combination of unilateral absent breath sounds, obstructive shock, hypoxaemia, and tracheal deviation is tension pneumothorax.

Reference: ATLS Student Course Manual