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Finger thoracostomy is superior to needle decompression in the fifth mid-axiallary intercostal space which is superior to the traditionally taught needle decompression in the second mid-clavicular intercostal space for traumatic tension pneumothorax/trauamtic arrest.
References
SHARON HENRY, MD, FACS ATLS 10th edition offers new insights into managing trauma patients Bulletin of the American College of Surgeons PUBLISHED JUNE 1, 2018
Scott Weingart, MD FCCM EMCRIT Podcast 62 – Needle vs. Knife II: Needle Thoracostomy? December 11, 2011
Hannon, L. et al. .Finger thoracostomy in patients with chest trauma performed by paramedics on a helicopter emergency medical service Emerg Med Australas 2020 Aug;32(4):650-656.doi: 10.1111/1742-6723.13549. Epub 2020 Jun 21
Andy Neil Stop putting IV cannulae in the 2nd ICS for tension PTX Emergency Medicine Ireland Posted on November 15, 2012