A person met with road traffic accident and came to casualty with contusion on anterior chest wall with Pulse rate-90/minute, BP-120/80 mm Hg, respiratory rate-16/minute. Normal hea sounds are heard but breath sounds were decreased on the left side and trachea was deted towards right. Which of the following is the first line management?
Needle thoracostomy
Pericardiocentesis
Chest tube inseion and drainage
Immediate exploratory thoracotomy
Answer- C. Chest tube inseion and drainageThis case is a classical description of post RM traumutic pneumothorax of left hemithorax, with decreased breath sound and trachea shifted to the right. Presence of hea sounds indicstes absence of cardiac tamponade. Tension pneumothoro-r is ruled out, as the patient is not having hypotension (BP-120/80 mm Hg). So the first line management is chest tube inseion and drainage.