укр eng

Where to insert this needle? Needle Decompression for Tension Pneumothorax

According to worldwide statistics, 30% of preventable deaths in the battlefield result from tension pneumothorax, when chest injury leads to air buildup in the pleural space, which in turn causes lung collapse and respiratory disturbance. This is a life-threatening condition that requires qualified immediate care.

Signs and symptoms of tension pneumothorax

According to Tactical Combat Casualty Care (TCCC) protocols, you must be alert to the possibility of tension pneumothorax whenever a casualty has a penetrating chest wound. Tension pneumothorax requires the performance of a needle chest decompression with the use of the Air Release System® for Needle Decompression.

The sole criterion for treating a tension pneumothorax with needle decompression is a penetrating chest wound and evident shortness of breath.

The ARS® for Needle Decompression

The Air Release System® is a patented technology for needle chest decompression.

The ARS® needle’s main features:

  • It is designed to provide the appropriate length needle/catheter to penetrate the pleural space in 99% of patients.

  • Needle/catheter length (3.25 in) is optimal for the effective treatment of a tension pnemothorax.

  • It is produced using U.S. surgical stainless steel grade 304, the material of choice for medical devices due to its history of safe and effective applications.

  • Gauge 10 needle/catheter, approximately 60% larger in diameter, is also available apart from gauge 14, with the same length, strength and reliability.

  • Rugged needle/catheter protective tube. Easy ID textured twist top with handy clip.

The Needle Decompression Kits are manufactured and sterilized in the USA according to rigorous national and international standards. Each lot is subjected to Limulus Amebocyte Lysate (LAL) testing in order to maximize device safety and ensure the device does not introduce any bacterial contamination to the compromised casualty. With its built-in failsafe characteristics, the ARS® improves the probability of success when treating casualties who present with signs and symptoms of tension pneumothorax.

How the needle works - A view from the inside.

Needle decompression is one of the few procedures that bring instant relief and improvement. The reluctance to aggravate the patient’s condition is a typical excuse for poor or absent medical care.

“Three Kings” Needle Chest Decompression

To not have a fear of piercing someone’s chest with an Excalibur-sized needle, a person needs training that will ensure needle decompression is performed correctly and safely. The application of appropriate techniques reduces risk to minimal.


1. The Combat Lifesaver Student Self-Study. The Army Institute for Professional Development.  Edition C Subcourse IS0871

2. North American Resque -