For those of you who, because of state regulations, cannot perform finger thoracotomies or insert chest tubes in the field, you are handicapped to use needle chest decompression. The challenge with this procedure is the historical education that your primary site should be second ICS at the mid-clavicular line (2ICS MCL). The following blog was written by Dr. Lauren Westafer, who is an Emergency Physician and Research Fellow at Baystate Medical Center and Clinical Instructor at UMass Medical School.


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