Tension Pneumothorax: Difference between revisions
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==Treatment== | ==Treatment== | ||
*Immediate needle decompression ( | *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]] | ||
Revision as of 02:57, 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 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