]> 2026-07-31T11:51:48+00:00 WBR289 0 en Chest tube replacement <font color="red">'''Incorrect.'''</font> Thoracotomy <font color="Green">'''Correct.'''</font> The patient has drained through the chest tube more than 250 mL/hr for 4 hours, therefore a thoracotomy or thoracoscopy is necessary to ligate the vessel. Left chest tube insertion <font color="red">'''Incorrect.'''</font> Bilateral chest tube placement is indicated in the case of a flail chest. CT scan with contrast <font color="red">'''Incorrect.'''</font> The patient is hemodynamically stable therefore he cannot be placed into a CT scanner. Positive pressure ventilation <font color="red">'''Incorrect.'''</font> This could be the next step in management if the patient starts desaturating. Surgery A 34-year-old male gets into a street fight. He is stabbed in the right chest. He develops shortness of breath and is brought to the ER. His vitals upon admission were T 37C, BP= 110/70mmH, 85 bpm, 18 respirations/min. His chest has an 1 cm entrance wound on the right mid-axillary line at the 9th rib level. His lungs have no breath sounds at the right base and distant apical breath sounds. There is dullness to percussion over the right base. The rest of the physical exam is unremarkable. The CXR reveals a hemothorax. A chest tube is placed at the right pleural base recovering 260mL of blood per hour during the first four hours and starts deteriorating. What is the most appropriate next step in management? B Respiratory 2020-10-28T03:01:15Z 2459150.6258681 WBR289