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