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Surgery General b9ad0558

A patient presents to the ER after a A with multiple rib injuries. He is conscious, speaking single words.RR= 40/ minute, BP= 90/40mm Hg. What is the next immediate step in management?

A
Intubate the patient
B
Urgent fluid infusion
C
Chest X- ray
D
Needle inseion in 2nd ICS
High-Yield Explanation
Answer- D. Needle inseion in 2nd ICSThis is a case of pneumothorax. Although the new ATLS update is 5th intercostal space in mid axillary line but in this question we will go with a time tested method of needle in the 2nd ICS.

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