Tension Pneumothorax

T701

  • Expose chest and clean procedure area on skin
  • Use commercial device or long, large bore IV catheter and needle (10-14 gauge; 3 inch 10 gauge preferred)
  • Insert the device or IV needle and catheter over the top of the rib of the second or third intercostal space in the midclavicular line

OR

  • Insert the device or IV needle and catheter over the top of the rib of the fifth or sixth intercostal space in the midaxillary line

 

  • If a tension pneumothorax is present, a rush of air may be heard
  • Remove the needle from the catheter and leave the plastic catheter in place
  • Decompression may be supported with a large syringe, multiposition (3-way stopcock) valve, commercial attachment, or left to open air
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