Here’s a quick, 3 ½ minute video for physicians and paramedics on how to decompress the chest when you suspect a tension pneumothorax.

The ATLS course now adds a consideration to use an alternative site. That location is the 5th intercostal space around the mid-axillary line. This has come about because shorter needles may not reach the pleural space when inserted under the clavicle in larger patients. The new spot is the typical location for placement of the inevitable chest tube that has to be inserted after needle decompression.

If you’ve got a few tips or tricks that you’d like to share on this procedure, please comment on the YouTube video.