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:
Even if the Senate votes in favor of a treaty, there is still another step in the ratification process. Only the President, acting as the chief diplomat of the United States, has the authority to ratify a treaty. With the Senate's approval, the President can then move forward with the formal process of ratification.