استرواح الصدر التوتري خلال توقف القلب الرضي مع التهوية بالضغط الإيجابي

References

1. To decompress the chest in a traumatic cardiac arrest, perform bilateral thoracostomies in the 5th intercostal space in the mid axillary lines.
2. In the presence of positive pressure ventilation, thoracostomies are likely to be more effective than needle thoracocentesis and quicker than inserting a chest tube (see tension pneumothorax).
3. Finger thoracostomy is the first stage of a standard open chest drain insertion, by making a hole with a scalpel and forceps and placing a finger into the thorax to feel for lung.
4. This will allow release of any air or blood causing pneumo/haemothorax.
5. The added benefit is the thoracostomy can be ‘re-fingered’ in the case of repeated tension.