After a six-metre fall, a patient is shocked with reduced breath sounds and stony dull percussion over the right chest. What diagnosis and

Question

After a six-metre fall, a patient is shocked with reduced breath sounds and stony dull percussion over the right chest. What diagnosis and destination priority best fit the presentation?

Accepted Answer

Suspect major haemothorax, resuscitate and pre-alert a major trauma centre

Answer

Suspect simple pleural effusion and arrange routine respiratory review

Answer

Suspect isolated rib fracture and avoid haemorrhage resuscitation

Answer

Suspect cardiac asthma and transfer to a minor-injury unit

Answer

Suspect tension pneumothorax and rely on needle decompression alone

Massive haemothorax — DIPIMC MCQ

After a six-metre fall, a patient is shocked with reduced breath sounds and stony dull percussion over the right chest. What diagnosis and destination priority best fit the presentation?