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Exam questionKROK 2Medicine ยท 2012

A 35-year-old victim of a road accident has got an injury of the right side of his chest. Objectively: respiration rate - 28-30/min, respiration is shallow, restricted respiratory excursion and acrocyanosis are present. Ps-110 bpm, AP- 90/60 mm Hg. Respiratory sounds over the right lung cannot be auscultated. Chest radiograph shows fractures of the VI-VII ribs on the right, the right pleural cavity contains both air and fluid, with the fluid at about the level of the V rib, the shadow of the mediastinum is displaced to the left. What first aid should be provided to the victim?

Answer options

  1. Vagosympathetic blockade
  2. Antibiotic administration
  3. Urgent thoracotomy
  4. Puncture of the pleural cavity
  5. Artificial ventilation of lungs
Correct answer

Puncture of the pleural cavity

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