Thoracic injuries I – Treatment – Question
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1. Question
Needle thoracocentesis or finger thoracostomy is advocated for tension pneumothorax in the first instance as per ATLS. This then needs to be followed by a chest drain [2].
The recommended site for needle thoracocentesis in adults is now the 5th intercostal space, just anterior to the mid-axillary line. In children, it is still the 2nd intercostal space in the mid-clavicular line. The site for finger thoracostomy in both is still the 5th intercostal space, just anterior to the mid-axillary line.
Can you think of three potential drawbacks to this recommendation? List your answers in the space provided.
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