Adhesive tape, 6 inches of 1/2 inch wide tape.
DD Form 1380 (Field Medical Card.)
b. Verify the presence of pneumothorax by checking for indications of this chest
injury. Follow the same verification procedures as for needle chest decompression
listed in paragraphs 1-15a(2)(a) through 1-15a(3)(a)(i).
c. Locate the insertion site. Follow procedure explained in 1-15a(3)(a) and (b).
d. Clean the insertion site as in 15a(4)(a) and (b).
e. Insert the needle.
Place the needle tip, bevel up, on the insertion site, centered on the third
(2) Lower the proximal end of the needle to permit the tip to enter the skin
over the third rib.
(3) Insert the needle into the skin over the third rib, until the pleura has been
penetrated, as evidenced by feeling a "POP", followed by expulsion of air through the
Hold the exposed end of the needle so it will NOT move.
f. Push the catheter into the pleural space until you feel resistance when the
catheter meets the apex of the lungs.
g. While you keep the catheter from moving, withdraw the needle along the
angle of insertion.
h. Secure the catheter to the chest.
i. If you are in a field situation, record the treatment on the Field Medical Card.