Pt presents with respiratory distress, absent breath sounds, tracheal deviation and hyperresonance to percussion. What is the best next step in management?
1. First, place a LARGE-BORE NEEDLE (needle thoracostomy) or IV CATHETER into the pleural space at the 2nd intercostal space midclavicular line
2. Then place a CHEST TUBE (tube thoracostomy) in the anterior midaxillary line in 4th intercostal space (level of nipple in men).
please do not ever wait for CXR or ABG!