Question

A 33-year-old man presents with sudden dyspnoea and pleuritic chest pain. He is hypotensive (80/50), tachycardic and JVP is raised; trachea central. Breath sounds are absent on the right. Best immediate management?

Accepted Answer

Immediate needle decompression of the right chest

Answer

Urgent chest X-ray then chest drain

Answer

High-flow oxygen and wait for CT

Answer

IV fluids only

Answer

Non-invasive ventilation

Practice question

A 33-year-old man presents with sudden dyspnoea and pleuritic chest pain. He is hypotensive (80/50), tachycardic and JVP is raised; trachea central. Breath sounds are absent on the right. Best immediate management?