Question 1

Which method of treatment is used to manage a traumatic pneumothorax?&#10;A) Needle aspiration of the pneumothorax&#10;B) Observation for spontaneous resolution&#10;C) Placement of a small-bore catheter&#10;D) Tube thoracostomy

Accepted Answer

Tube thoracostomy, also known as chest tube placement, is the recommended treatment for managing a traumatic pneumothorax. It allows for drainage of the accumulated air and re-expansion of the lung. Needle aspiration and small-bore catheter placement may be used for small pneumothoraces or as temporary measures, but they are not recommended for traumatic pneumothorax. Observation for spontaneous resolution is not recommended as it can be potentially life-threatening.

Question 2

A patient with a central line develops respiratory compromise. What is the initial intervention for this patient?&#10;A) Lung ultrasonography (US) to determine the cause&#10;B) Obtaining cultures and starting antibiotics&#10;C) Prompt removal of the central line&#10;D) Rapid assessment and resuscitation

Accepted Answer

Respiratory compromise is a medical emergency and requires rapid assessment and resuscitation to ensure the patient's airway is secure and adequate oxygenation is maintained. This includes interventions such as administering supplemental oxygen, providing positive pressure ventilation, and performing intubation if necessary. The cause of the respiratory compromise can be evaluated after the patient's breathing is stabilized. Lung ultrasonography and obtaining cultures for antibiotics may be necessary interventions later in the management of the patient's condition. Prompt removal of the central line may be necessary if it is determined to be the cause of the respiratory compromise.

Deck 94: Pneumothorax