What are the potential complications of a tension pneumothorax that I should be aware of during initial assessment and management?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

During the initial assessment and management of a tension pneumothorax, clinicians should be aware of its potential for severe, life-threatening complications , . As a critical component of major trauma assessment and initial management, a tension pneumothorax requires urgent attention to prevent adverse outcomes . The need for a structured approach to pneumothorax management, as discussed in medical literature, further highlights the serious nature of this condition and the risks associated with inadequate or delayed intervention .

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