NREMT Paramedic Practice

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What is a primary symptom of tension pneumothorax?

Bradycardia
Tracheal deviation
Hyperventilation
Chest tightness

The correct answer is: Tracheal deviation

Tracheal deviation serves as a primary symptom of tension pneumothorax. This condition occurs when air enters the pleural space and cannot escape, leading to increased pressure in that area. As the pressure builds, it pushes the mediastinum (the central compartment of the thoracic cavity) towards the opposite side. The trachea, being centrally located, will deviate away from the side of the tension pneumothorax when visualized. This physical shift is a key clinical indicator that helps healthcare professionals diagnose the condition quickly. Understanding the dynamics of tension pneumothorax is crucial for emergency management; thus, recognizing symptoms such as tracheal deviation is essential for prompt intervention and treatment. The other symptoms listed may be present in various respiratory conditions or other types of pneumothorax, but they are not as definitive for diagnosing tension pneumothorax as tracheal deviation.