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==Treatment==
==Treatment==
*Immediate needle decompression (temporary) followed by chest tube (definitive)
*Immediate needle decompression if unstable (clinical = decreased BS or US findings)
**Wait for CXR confirmation if stable
**14ga IV in midclavicular line just above the rib at the second intercostal space
**14ga IV in midclavicular line just above the rib at the second intercostal space
*Followed by [[Chest Tube]]
*Followed by [[Chest Tube]]

Revisión del 02:57 17 jul 2011

Background

Diagnosis

  • Diminished or absent breath sounds
  • Hypotension or e/o hypoperfusion
  • Distended neck veins
    • May not occur if pt is hypovolemic
  • Tracheal deviation
    • Late sign

Treatment

  • Immediate needle decompression if unstable (clinical = decreased BS or US findings)
    • Wait for CXR confirmation if stable
    • 14ga IV in midclavicular line just above the rib at the second intercostal space
  • Followed by Chest Tube

See Also