Tension pneumothorax: recognize sudden collapse during support
Educational use only. Not clinically reviewed0-year-old boy for tension-pneumothorax recognition, qualified emergency-boundary review, fixed response, and active-risk handoff practice. About 7 simulated minutes.
What you will practise
- Activate respiratory, decompression-capable, monitoring, and family support.
- Connect respiratory support, clock, sudden change, asymmetry, perfusion, and the whole dyad.
- Recognize suspected tension pneumothorax with cardiopulmonary compromise without imaging delay.
- Review qualified oxygenation, ventilation, decompression, drain, and reassessment boundaries.
- Review the fixed 2-minute qualified-team report.
- Hand off air-leak, lung-support, circulatory, family, and outcome risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Lee HC, Strand ML, Finan E, et al. Part 5: Neonatal Resuscitation: 2025 AHA/AAP Guidelines. Pediatrics. 2026;157(1):e2025074352.
- Queensland Health. Queensland Clinical Guideline: Stabilisation for retrieval—neonatal. 2024.
- Royal Cornwall Hospitals NHS Trust. Pneumothorax Neonatal Clinical Guideline. Version 3.2. 2024.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.