What I‘ve learned and heard is that if there is an indication of a tension pneumothorax (e.g. rib series fracture with elevated pulse and difficulties in breathing), treatment is always to get two venous catheters, two syringes and do needle chest compression on both sides (just to be sure the punctuation works).
I‘ve come across this article and was wondering if there are any reliable alternatives to the rather invasive treatment option, especially with the morbidity outlined in the article.
Obviously, if the indications are clear there is no reason to hesitate, but especially with children their bones are not strong and such symptoms and indications are easily achieved. I don’t want to have to pierce them, but I also don’t want to let them die.