What is the appropriate treatment for Tension Pneumothorax in cardiac arrest?

In the case of tension pneumothorax during cardiac arrest, the most appropriate treatment is to perform bilateral pleural decompression. Tension pneumothorax occurs when air becomes trapped in the pleural space and creates increasing pressure that can collapse the lung and compress the heart and large blood vessels, leading to impaired blood circulation.

Bilateral pleural decompression involves using a needle to release the trapped air from both sides of the chest. This is a critical intervention because it quickly reduces the intrathoracic pressure, allowing for improved venous return to the heart and potentially restoring cardiac output. In a cardiac arrest situation, timely relief of pressure is essential to maximize the chances of resuscitation.

Other options may address different aspects of treatment or emergencies but do not provide the immediate intervention required to relieve the tension pneumothorax. For instance, inserting a chest tube is a more definitive secondary intervention but may not be performed immediately in a resuscitation context. Oxygen therapy and intravenous fluids are supportive measures that might be helpful in other scenarios, but they do not address the life-threatening nature of a tension pneumothorax in a cardiac arrest situation.