Question 84 · LEK · Chest injuries
In the patient after the chest trauma on the right side tachypnea and tachycardia occurred, and soon after the patient’s skin turned pale blue. Low blood pressure was noted. In this situation the first procedure should be:
- A. repeated measurement of blood pressure.
- B. computed tomography of the chest.
- C. pleural drainage with a chest tube placed in the 5th intercostal space on the right.
- D. insertion of a chest tube with a one-way valve system in the right 2nd intercostal space on the upper rim of the rib.
- E. insertion of a chest tube with a one-way valve system in the right 2nd intercostal space on the lower rim of the rib.
Hint
The scenario describes rapidly progressing respiratory and circulatory failure after chest trauma that needs immediate decompression without further tests.
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