Sure, you could just jam a 14 gauge angiocath into the intercostal space and listen for the whoosh of air that may and may not come… But why not try this method, which takes a few seconds longer to set up, but gives you better feedback and allows you to temporarily close the system in preparation for a formal chest tube.
A better way to perform a needle thoracostomy
About the Author: Brad Sobolewski
Brad Sobolewski, MD, MEd is an Associate Professor of Pediatric Emergency Medicine and an Assistant Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter @PEMTweets and authors the Pediatric Emergency Medicine site PEMBlog. All views are strictly my own and not official medical advice.
October 10th, 2019