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What is A 30 year old female comes acute breathlessness, neck vein distention, and absent breath sounds and nediastinal shift. Which of the following should be done immediately? and explain in detail?
Answer is D (Large Bore needle puncture of pleura): Acute breathlessness absent breath sounds, neck vein distension and mediastinal shift suggests a diagnosis of Tension Pneumothorax. Tension pneumothorax must be treated as a medical emergency and therapeutic intervention should not be delayed while waiting for investigations. Immediate puncture of pleura with a large bore needle through the second intercostal space is the treatment of choice.