REBEL Core Cast 139.0: Pneumothorax Decompression
Update: 2025-08-18
Description
Show Notes:
On this episode of the Rebel Cast, Swami takes a deep dive into pneumothorax decompression, focusing on the need for improvements beyond the classic teachings. Covering scenarios where immediate decompression is critical, particularly in tension pneumothorax, Swami discusses the limitations of needle decompression, especially in the second intercostal space at the midclavicular line. He highlights the importance of using POCUS for diagnosis and recommends skipping needle decompression in favor of finger thoracostomy for a more reliable and effective treatment. Key takeaways emphasize recognizing tension pneumothorax in various clinical situations and the advantages of finger thoracostomy over traditional techniques.
Highlights:
Take Home Points:
- Suspect tension ptx not just in trauma but also in mechanically ventilated patients who become unstable and after central line placement
- Confirm with US if time allows
- Needle decompression is a suboptimal approach to decompression. Finger thoracostomy is more likely to be successful
00:00 Introduction to Pneumothorax Decompression
00:17 Recognizing Tension Pneumothorax
01:00 Common Scenarios for Pneumothorax
01:34 Confirming Diagnosis with POCUS
01:50 Issues with Needle Decompression
03:21 Advantages of Finger Thoracostomy
04:11 Key Takeaways and Conclusion
Comments
In Channel
Download from Google Play
Download from App Store
United States00:00
00:00
x
