question: A 40 year old male presented with a penetrating trauma to chest. He is dyspnoeic with distended neck veins with hypotension and mediastinum is shifted to opposite side. There is a sucking wound over the chest. The most appropriate management would be
opa: Inseion of a large bore needle in the 2" ICS in the mid clavicular line
opb: Fluid Resuscitation
opc: Staing Inotropic suppo
opd: Endotracheal Intubation