Medical MCQ-A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words. RR = 40/min, BP= 90/40 mmHg. What is the next immediate step in management?

A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words. RR = 40/min, BP= 90/40 mmHg. What is the next immediate step in management?

Intubate the patient

Urgent fluid infusion

Chest X ray

Needle inseion in 2nd ICS

Question Category:

Medicine

Correct Answer:

Needle inseion in 2nd ICS

Description:

Answer- D. Needle inseion in 2nd ICSThis is a case of tension pneumothorax. Although the new ATLS update is 5th intercostal space in mid maxillary line, but in this question we will go with a time tested method of needle in 2nd intercostal space.

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