Tension pneumothorax Decompression (thoracentesis)

Question 1

Witnessed traumatic event with abdominal or chest trauma will get what?

Answer 1

Bilateral chest decompression

Question 2

To warrant decompression in the field you need high clinical suspicion, progressive respiratory distress, and one of the following…

Answer 2

Decreased or absent breath sounds, consistent hx (chest trauma, COPD, asthma), distended neck veins, tracheal shift away from affected side (late sign), asymmetrical movement on inspiration, hyper-expanded chest on affected side, drum like percussion on effected side, increased resistance to PPV

Question 3

What intercostal space is it?

Answer 3

Second

Question 4

What is ideal catheter length?

Answer 4

3 inches