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Exam questionKROK 2Medicine ยท 2014

A 29-year-old unconscious patient has been delivered to a hospital. Objectively: skin and mucous membranes are pale, cyanotic, breath sounds are dramatically diminished on the right and cannot be auscultated in the lower parts, at the level of the 6 rib along the anterior axillary line there is a wound hole with moderate bleeding and passage of air during inspiration. Radiography reveals a bullet in the pleural cavity. What is the medical tactics of choice?

Answer options

  1. Thoracoscopy with removal of bullet
  2. Converting a tension pneumothorax into a simple (open) pneumothorax
  3. Emergency thoracotomy
  4. Thoracostomy
  5. Tight bandage on a wound
Correct answer

Emergency thoracotomy

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