Tension Pneumothorax

Question 1

Needle Thoracostomy
Indications

Answer 1

Suspected tension pneumothorax
AND
Critically ill or cardiac arrest
AND
Absent or severly diminished breath sounds on affected side(s)

Question 2

Needle Thoracostomy
Conditions
SBP?

Answer 2

SBP: hypotension or VSA

Question 3

Mandatory patch point?

Answer 3

YES - changing in ALS 5.0

Question 4

Needle thoracostomy Site

Answer 4

2nd intercostal space - midclavicular line

Question 5

Insertion should be done on the superior aspect of 3rd rib or inferior aspect of 2nd rib?

Answer 5

Superior Aspect of 3rd rib as the vasculature and nerves run inferior on rib