Finger Thoracostomy (Tension Pneumothorax)
Decompressing under pressure, with confidence
A tension pneumothorax is a clinical emergency that demands decisive action. This mental simulation rehearses the complete procedure — from recognition through to decompression — so that when the moment arrives, the steps are already familiar.
Emergency physicians, trauma surgeons, critical care practitioners
“Headphones on, eyes closed”
The scenario
A 32-year-old cyclist has been hit by a car. GCS is falling, oxygen saturations are dropping, and tracheal deviation is present. You need to act now.
Learning outcomes
By completing this rehearsal you will be able to:
Recognise the clinical signs of tension pneumothorax
Make the decision to decompress without delay
Perform a finger thoracostomy with correct anatomical landmarks
Manage complications and confirm successful decompression
How this module works
Five structured steps, designed around how adults learn best.
Scenario overview
A trauma patient is deteriorating rapidly. Breath sounds are absent on one side. The clinical picture is clear. You need to act.
Pre-assessment
Before we begin — a quick self-check. How prepared do you feel right now?
Prebriefing
A video briefing sets the scene and walks through the anatomy and equipment you'll need.
Audio simulation
Headphones on, eyes closed. You rehearse the procedure step by step — positioning, landmark identification, incision, finger sweep, and confirmation.
Debriefing
Reflect on the procedural steps and decision-making under time pressure.
Self-assessment
Reflect on the experience. Your feedback shapes this platform and helps measure your growth.
Certificate
Download your completion certificate for CPD evidence.
Ready to rehearse?
Find a quiet moment, put your headphones on, and begin. The rehearsal takes 15 minutes.