PERFORM A NEEDLE CHEST DECOMPRESSION
Simulated casualty (manikin) with dressed chest wound
Large bore needed with catheter (from first aid kit)
Tape (from first aid kit)
Identifies insertion site (second intercostal space above
third rib on mid-clavicular line on injured side).
Removes catheter/needle unit from packaging and removes
Inserts catheter/needle unit into insertion site at
approximately a 90-degree angle.
Continues insertion until chest wall is penetrated ("pop" is
felt, air heard escaping). (Instructor may need to inform
student that there is a "pop" and/or sound of escaping air if
the manikin is not designed to provide these clues.)
Removes the needle, leaving the catheter in place.
Secures the catheter hub to the chest wall using the strip of
(A no-go on any step will result in a no-go for the entire