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Home > Images > Thoracic Trauma > Tension Pneumothorax

Santiago Domenech MD Hospital La Moraleja. Madrid-Spain Emergency Dpt.

Chest X-Ray right tension pneumothorax. There is mediastinal shift to the left and depression of the right hemidiaphragm.

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Comments

rn4life, September 17, 2009

How was this patient managed? Needle thoracostomy? or chest tube?

hilary, October 06, 2009

needle first then ICD.

ajcleary, October 11, 2009

Is the pt stable? If not then needle. If the pt is stable I’d say tube.

drppatil, November 16, 2009

needle thoracostomy will buy time for few minutes, but i would say with advanced life support traing available in all e.r across the world, chest tube is preferrable as it hardly takes a few minutes under a trained hand.

afridi, December 02, 2009

a chest drain will be a good option

manish mehrotra, INDIA, January 17, 2010

a chest tube would be recommended at first go

LuisManuel, May 22, 2010

How was it possible to obtain this image in a patient like this? is not a classical teaching that a tension pneumothorax is a clinical diagnosis?. I guess the cornerstone of a certified discussion should be this point and not the management. Management is clear in the hospital setting: if you can use the pleural tube, use it ASAP, do not give place before to the neddle.
Lt Col Garcia Nuñez, Mexico City

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