This is a clinican diagnosis
- History of penetrating trauma, positive pressure ventilation or airways disease
- Air hunger
- ± distended neck veins
- ± hyperresonant on tension pneumothorax side
Do NOT x-ray - this is a clinical diagnosis
- Immediate needle decompression.
- Confirm side clinically.
- Inform patient.
- 14G cannula .
- 2nd intercostal space.
- Listen for hiss.
- Protect with gauze.
- Tape and leave in situ.
- Prepare chest drain for insertion.
Vimeo is of chest decompression.