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  #1  
Old 04-29-2013
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Emergency Chest Trauma, next best step!

a 45 year man on RTA presents with sudden onset of chest pain and SOB and on examination decreased BP; increased JVD. trachea deviates to right. there is decreased breath sounds to the left. the best next step in management is
a) cardiac echo
b) IVF
c) ct scan
d) needle decompression
e) chest x ray
f) FAST
g) ct scan
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  #2  
Old 04-29-2013
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tension pneumothorax

D)needle decompression

thanks

there are 2 CT scan options...lol
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Old 04-29-2013
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Needle decompression before you send him for a CXR. Because at any moment, the patient may die.
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Old 04-29-2013
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D) Needle decompression to relieve patient from tension pneumothorax..........save the patient first

Decreased Breath sounds to the left lung field>>>>>>>Indicating collapse of the left lung.

Shortness of breath, Decreased BP with increased JVD and tracheal shifting to the right indicating>>>>>>>mediastinal shifting to the right resulting Kinking of the great vessels.................
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  #5  
Old 04-29-2013
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Default D

for explanation as already explained...
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