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
- Vagosympathetic blockade
- Antibiotic administration
- Urgent thoracotomy
- Puncture of the pleural cavity
- Artificial ventilation of lungs
Correct answer
Puncture of the pleural cavity
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