RRAPID TENSION PNEUMOTHORAX

Question 1

Symptoms of pneumothorax (6)

Answer 1

1. SOB - sudden
2. pleuritic chest pain
3. unilateral reduced chest expansion
4. unilateral decreased breath sounds
5. unilateral hyper-resonnace
6. CXRay confirms

Question 2

Symptoms of tension pneumothorax? (3)

Answer 2

1. hypotension
2. trachea deviation
3. distended neck veins

Question 3

ABCDE (0,3,1)

Answer 3

A

B

1. give O2 15l/min non re-breathe mask
2. need decompression
   - large bore needle 2nd intercostal space mid-clavicular line
3. insert chest tube

C

1. 2 large bore cannulas

Question 4

What is important to know when asking for a CXRay?

Answer 4

do not delay treatment by waiting for the CXray