Tension Pneumothorax: Difference between revisions

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==Background==
==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
*Tx
 
**Immediate needle decompression (temporary) followed by chest tube (definitive)
==Treatment==
*Immediate needle decompression (temporary) followed by chest tube (definitive)
***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]]


==See Also==
==See Also==

Revision as of 02:50, 17 July 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 (temporary) followed by chest tube (definitive)
      • 14ga IV in midclavicular line just above the rib at the second intercostal space
  • Followed by Chest Tube

See Also