The<unk>  is an alternative to needle<unk>  for emergent decompression of a suspected tension pneumothorax
Numerous studies suggest that needle<unk>  inconsistently accesses the pleural space
This alternative procedure allows for tactile (+/- visual) feedback that the pleural space has been accessed
Will cause an open pneumothorax.
Has not been studied head-to-head against needle<unk> 
Thus, any advantages/disadvantages are currently based on expert opinion rather than strong evidence
Thus, any advantages/disadvantages are currently based on expert opinion rather than strong evidence
Finger thoracostomy
Needle thoracostomy
Thoracotomy
Thoracotomy 
Thoracic lavage
Pulmonary antibiotics
Surgical airways
Chest tube