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Hs and Ts – Tension Pneumothorax Video

ACLS Certification Association videos have been peer-reviewed for medical accuracy by the ACA medical review board.

Video at a Glance

  • Tension pneumothorax is one of the Hs and Ts and a reversible cause of cardiac arrest.
  • It is caused by a hole in the lung, often due to PPV that allows air to escape into the thorax, compressing the vena cava and restricting blood return to the heart.
  • The provider must know the signs and symptoms.
  • Treatment is decompression of the pneumothorax using a needle into the chest, allowing air to escape.
  • Within 15 seconds, the lung should expand, pulses should return, and the patient should improve.

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