PERFORM A NEEDLE CHEST DECOMPRESSION
Simulated casualty (manikin) with dressed chest wound
Large bore needed with catheter (from combat lifesaver MES)
Scissors (from combat lifesaver MES)
Tape (from combat lifesaver MES)
Identifies insertion site (second intercostal space above
third rib on mid-clavicular line on injured side).
Inserts needle/catheter unit into insertion site at
approximately a 90-degree angle.
Continues insertion until chest wall is penetrated ("pop" is
felt, air heard escaping).
Removes the needle but leaves the catheter in place.
Tapes the catheter hub to the chest wall.
(A no-go on any step will result in a no-go for the entire
End of Lesson 4