Tension pneumothorax: Difference between revisions
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== | ==Background== | ||
*Death occurs from hypoxic respiratory arrest (V-Q mismatch), not circulatory arrest | *Death occurs from hypoxic respiratory arrest (V-Q mismatch), not circulatory arrest | ||
==Diagnosis== | |||
*Diminished or absent breath sounds | *Diminished or absent breath sounds | ||
*Hypotension or e/o hypoperfusion | *Hypotension or e/o hypoperfusion | ||
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*Tracheal deviation | *Tracheal deviation | ||
**Late sign | **Late sign | ||
==Treatment== | |||
*Immediate needle decompression if unstable | *Immediate needle decompression if unstable | ||
**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 | ||
Revision as of 18:14, 4 December 2014
Background
- Death occurs from hypoxic respiratory arrest (V-Q mismatch), not circulatory arrest
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
- 14ga IV in midclavicular line just above the rib at the second intercostal space
- Always followed by Chest Tube placement
See Also
Source
- Roberts and Hedges Clinical Procedures in Emergency Medicine
- Rosen's
- American College of Chest Physicians Consensus Statement