This post-mortem film taken in a patient with severe blunt trauma to the chest and a left tension pneumothorax illustrates the classic features of a tension: 1  Deviation of the trachea away from the side of the tension.  Shift of the mediastinum.
The Constitution gives the President the power to commit the United States to treaties â but only with the advice and consent of two-thirds of the US Senate, and only if the agreement does not contravene the Constitution. The process to ratify a treaty may be lengthy, but it is relatively straight forward:
Treaty â A formal, public agreement between the United States and one or more nations that must be approved by two thirds of the Senate. Executive agreement â A formal agreement between the U.S. president and the leaders of other nations that does not require Senate approval. Congressional-executive agreement â A formal agreement between a U.S. president and the leaders of other nations that acquires approval by both houses of Congress.