Treatment of choice for Tension pneumothorax is
Once clinically diagnosed, a wide bore needle(intercostal drain) is immediately placed in the second intercostal space in midclavicular line, and a sterile glove is kept on the hub (blunt) end of the needle to create a valve so as to prevent inward sucking of the air from outside.
Intermittent aspiration by needle
Continuous aspiration by needle
Immediate IC tube drainage
Thoractomy with repair of leakage
Immediate IC tube drainage