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Tracheal Shift and Spontaneous Pneumothorax

Roostmonkey

By Roostmonkey
in Patient Care

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NCFD18 Newbie

NCFD18

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So far, one of my guest instructors has told me that spontaneous pnuemothrorax will NOT result in a tracheal shift, EVER. She pretty much told us that there is no way to tell a pneumothorax in the field, and it only comes up under xray.

The other guest paramedic instructor today told us the EXACT opposite, which I am much more inclined to believe. I am pretty sure I would hear much different lung sounds in each case, and if the left lung was collapsed, wouldn't the trachea want to shift towards the right lung?

I have taken interest in this particular condition considering that I am a very tall, thin, white, male smoker :D

Thoughts?

I think it can but majority of the time the pt will go to the hospital will go for pain and dyspnea before that point. "Spontaneous Tension Pnuemo" what a way to die lol.

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