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학습 자료 둘러보기 →For a clinically unstable patient with suspected tension pneumothorax, perform immediate needle decompression without waiting for imaging. Insert a large-bore needle into the 2nd intercostal space at the midclavicular line on the affected side. A rush of air confirms the diagnosis and converts the tension pneumothorax into a simple pneumothorax.
Needle decompression is a temporizing measure; a chest tube must be inserted immediately afterward for definitive management. Failure to decompress rapidly can lead to cardiovascular collapse from reduced venous return.
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