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11385 Medicine

A young man presents to the emergency department with shortness of breath and chest pain. His HR is 120 , BP is 80/50, JVP elevated and trachea shifted to left. His oxygen saturation is 70% in spite of supplemental oxygen. What is the next step of management?

AInsert a large bore needle on right side
BInsert a large bore needle on left side
CArrange for an urgent chest xray and meanwhile give high doses of inhaled oxygen
DEmergency tracheostomy to secure airway
Medicine
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