Emergency Medicine Book

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Needle Thoracentesis

Aka: Needle Thoracentesis, Needle Thoracostomy, Needle Decompression
  1. Indications
    1. Tension Pneumothorax
  2. Technique
    1. Equipment
      1. Size 14 gauge over the needle angiocatheter (5 cm)
    2. Insertion site
      1. Second intercostal space (at angle of manubrium)
      2. Insert immediately OVER 3rd rib in midclavicular line
  3. Follow-up
    1. Requires Chest Tube placement

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