Born This Way – Pneumothorax.

Pneumothorax, there are 2 causes
Traumatic and spontaneous
Primary think Marfan’s, Ehler Danlos
Secondary think lung disease
Pneumothorax, there are 3 types
Open, closed and tension
To manage it there are 3 factors
Stability, size and type
F Eb Bb F
Chorus:
Tension pneumothorax is an emergency
No time to wait for a chest x ray to confirm
Stat thoracotomy, a 14G needle one
Then a tube thoracotomy at the 5th IC space

Open pneumothorax, a k a sucking chest wound
Make a flutter valve with a dressing taped on three sides
For a month post recovery, you shouldn’t fly or work out
Nor ever climb mountains or do deep sea diving/

ABC monitoring oxygen,
100% and no less
Then just a chest x ray is enough
Large is beyond 3

Once it’s large you should drain it,
With a chest tube and admit
Connect the chest tube to a Heimlich valve
Or an underwater seal

Bridge:
In tension pneumothorax, patient has severe dyspnoea
Diminished breath sounds in one hemithorax
Tachycardia and impaired, peripheral perfusion
And raised jugular veins that’s unstable

Think TP with acute SOB, or a marfanoid youngster
With sudden onset unilateral chest pain
Tracheal displacement is a, late sign in TP
So we’ve got to decompress it via a needle

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