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741 Surgery

A person met with road traffic accident and came to casualty with contusion on anterior chest wall with Pulse rate-90/minute, BP-120/80 mm Hg, respiratory rate-16/minute. Normal hea sounds are heard but breath sounds were decreased on the left side and trachea was deted towards right. Which of the following is the first line management?

ANeedle thoracostomy
BPericardiocentesis
CChest tube inseion and drainage
DImmediate exploratory thoracotomy
Surgery
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