Tension Pneumothorax

Indications: Suspect tension pneumothorax and critically ill or VSA and absent or severely diminished breath sounds on the affected side(s).

Needle Thoracostomy: If the patient is hypotensive or VSA patch to BHP for authorization to perform a needle thoracostomy.

Clinical Considerations: A needle thoracostomy may only be performed at the second intercostals space in the midclavicular line.