Critically appraise pre-hospital needle thoracentesis by paramedics, reviewing the evidence based rationale underpinning its use.

Critically appraise pre-hospital needle thoracentesis by paramedics, reviewing the evidence based rationale underpinning its use.

You are required to answer the following question:
Paramedics’ use of pre-hospital needle thoracentesis has raised concerns related to their clinical diagnosis and treatment intervention efficiency. A particular area of concern centres on consideration that cannula needle length, used by paramedics, is insufficient to effectively penetrate thoracic tissue to relieve tension elements of tension-pneumothorax.
Critically appraise pre-hospital needle thoracentesis (needle chest decompression) by paramedics, reviewing the evidence based rationale underpinning its use. Using critical analysis and evaluation discuss appropriate paramedic intervention strategies, integrating supporting evidence including potential patient safety and risk/benefit debate.
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