Tension Pneumothorax .ccs - posative4

[ArchivalUser]

hi, please share the correct step to mange this case in ccs.

thanks

[ArchivalUser]

it's given in usmle.org cases

[ArchivalUser]

did they give the mangment , explanation ? or not just u can practice it
but i want to make sure if i did it correct .

[ArchivalUser]

yes, explanation is thr

[ArchivalUser]

i find it ,thanks alot

[ArchivalUser]

ER CASE
A
B
C
OXYGEN
IV LINE
IV MORPHINE

EKG
CXR PORTABLE[ U CAN AVOID IT IF U STRONGLY SUSPECT IT]
TROPONIN/CKMB
ABG
NEEDLE THORACOSTOMY
POST PROCEDURE CXR
CONSULT PULMONOLOGIST

SHIFT TO ICU
CCM
TUBE THORACOSTOMY
CXR POST PROCEDURE
MANAGE THE ETIOLOGY
COUNSEL

[ArchivalUser]

this is tension pneumothorax---needle thoracostomy immediately after examination

[ArchivalUser]

yup agree .....but i am working in er and still they do it so....in exam go direct to needle thoracostomy

[ArchivalUser]

focus exam: lung and heart exam first
then order: oxygen, oximeter, cardiac monitor, iva, vital, needle thoracostomy, chest tube thoracostomy, pulmo/general surgeon consult , chest xray.
Then order:
cbc, bmp, ekg, abg, vital, cardiac enzyme, ua, lipid profile, lft,
say hi to patient. complete physical exam.
patient vital improved and chest expanded. BP stable.
albuterol, morphine
send patient to ward/icu
bed rest with bathroom priv, low fat diet.
5 mins will come up.
the rest is up to u.
colonoscopy -2 month later
influenza now
pneumococcal vaccine now
counsel patient..............etc

[ArchivalUser]

remember to do interval hx and then you will get the whole history.