Final answer:
When no breath sounds or chest rise are observed after second tube insertion, immediate re-evaluation and correction of tube placement or obstruction must be addressed, potentially using the Heimlich maneuver for aspirated objects.
Step-by-step explanation:
If there are no breath sounds or chest rise after the insertion of the second tube, immediate re-evaluation is necessary. Improper placement or obstruction could be the cause, and you may need to adjust the tube or perform a Heimlich maneuver if an aspirated object is suspected.
Always verify tube placement, check for potential blockages, and consider alternate causes such as pneumothorax, pulmonary contusions, or other thoracic injuries that could impair ventilation even after successful tube placement.
The healthcare provider should remove the second tube and perform a needle decompression to release the trapped air and relieve the pressure on the collapsed lung.