Which description best matches the signs of a tension pneumothorax and its initial management?

• A. Signs include hypertension, normal breath sounds; treatment is observation.
• B. Signs include hypotension, tracheal deviation, distended neck veins, absent breath sounds; treatment is immediate needle decompression followed by chest tube insertion.
• C. Signs include fever and productive cough; treatment is antibiotics.
• D. Signs include chest pain only; treatment is rest and analgesia.

Answer: (B)