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47.A 36 year old male was brought to the emergency department with history of fall from the roof the chest of the patient was traumatized you suspect Hemothorax . On the basis of which one of the following signs you are suspecting this diagnosis?
48.A 40 year old patient with history of chest trauma was brought to the emergency department of the hospital the patient was having chest pain and dyspnea you suspect pneumothorax and you start management of this patient In the management of traumatic pneumothorax patient if mechanical ventilation is required then why it is mandatory to insert chest tube?
49.A 22 year old female has been shoot at chest her heart rate is 60 blood pressure is 70/40 respiratory rate is 23 oxygen saturation is 99% and you started her ATLS examination her airway is in midline and patent and breathing is clear on the left and on the right side breath sounds are decreased on palpation bilateral radial wrist pulses are weak on removing the patient undergarment and you noted a gunshot wound to the right parasternal area now you are doing needle decompression of the chest where you will do it ?