Crucial Exams

BCEN CEN Practice Question

A 22-year-old male is brought to the emergency department after a high-speed motor-vehicle collision. He is alert but anxious and tachypneic. The left hemithorax appears hyperexpanded with minimal movement, breath sounds are absent on the left, and the trachea is deviated toward the right. Jugular veins are distended and the patient is becoming increasingly dyspneic. What is the most appropriate initial intervention?

  • Administer high-flow oxygen and apply CPAP

  • Obtain a portable chest radiograph to confirm pneumothorax

  • Perform immediate needle decompression of the left chest

  • Prepare for rapid-sequence intubation

BCEN CEN
Respiratory Emergencies
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