1. Step 9
1.1. Review session 3
1.2. visualize the data and theory
1.2.1. tension pneumothorax
1.2.1.1. supported by
1.2.1.1.1. trachea deviation
1.2.1.1.2. hemeodynamic changes
1.2.1.1.3. hypotension
1.3. literature review and use of evidence
1.4. 20 minutes
2. Step 10
2.1. Management (for the individual)
2.1.1. inetieal management
2.1.1.1. activate the trauma team
2.1.1.2. ABC
2.1.1.2.1. manage and check for airway, breathing, circulation
2.1.1.2.2. breathless state
2.1.1.3. needle apiration
2.1.1.3.1. in the 2nd intercostal space, in the midclavicular line
2.1.1.3.2. 63% successful
2.1.1.4. local anesthesia
2.1.1.4.1. lidockien
2.1.1.5. TEE and CT
2.1.1.6. others
2.1.1.6.1. consider the fast intervention
2.1.1.6.2. take care with legal issues
2.1.1.6.3. depends on the patient age
2.1.1.7. no chance of survival with aortic and myocardial rupture
2.1.2. ongoing management
2.1.2.1. forced treatment
2.1.2.2. rib fracture
2.1.2.2.1. self limiting condition
2.1.2.2.2. getting extra rest
2.1.2.2.3. putting ice on the injured area
2.1.2.2.4. aspirin and ibuprufen if needed
2.1.2.2.5. hospitalization recommonded for 4 or more fractures
2.1.2.2.6. they used to use casts
2.1.2.3. pneumothorax
2.1.2.3.1. prophylactic antibiotic given first
2.1.2.3.2. thoracoestomy
2.1.2.3.3. one way valve
2.1.2.3.4. more than one tube ipsolaterally
2.1.2.3.5. thoracoescopy
2.1.2.3.6. pleurodesis
2.1.2.3.7. it's more common in men
2.1.2.4. analgesia and opioids
2.1.2.4.1. for pain relief
2.1.2.5. oxygen supplement
2.1.2.6. psychological and social worker
2.1.2.6.1. for PTSD
2.1.2.6.2. family and legal issues
2.2. Prevention (for the population)
2.2.1. GENERALLY no way of actual prevention
2.2.2. possible ways
2.2.2.1. wearing seat belt
2.2.2.2. avoiding smoking
2.2.2.3. decrease the fall chances
2.2.2.4. enforce more punishment and road regulation
2.2.2.5. early detection of respiratory infections
2.2.2.6. no travel by plane after 1-2 weeks of treatment
2.2.2.7. trauma team training
2.2.2.8. preventable risk factors management