A 35 year-old female presents to the ER with a complain of severe chest pain and shortness of breath. She had similar episodes in the past but didn't feel that much of pain. She evaluates her pain as 10 out of 10. Her past medical history includes systemic lupus Erythematosus ( SLE ) and pulmonary fibrosis. She takes a lot of medications but she only remember cortisone as one of them. Her CT scan is shown above on the diagram. What is the very first step in management of this patient? A- Emergency needle decompression B- Place the patient on 100% oxygen C- Insert a thoracostomy tube. D- Refer to surgical department Answer
