Prehospital Chest Tube Thoracostomy: Effective Treatment or Additional Trauma?

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Prehospital chest tube thoracostomy: effective treatment or additional trauma?

BACKGROUND The use of prehospital chest tube thoracostomy (TT) remains controversial because of presumed increased complication risks. This study analyzed infectious complication rates for physician-performed prehospital and emergency department (ED) TT. METHODS Over a 40-month period, all consecutive trauma patients with TT performed by the flight physician at the accident scene were compare...

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Complications of tube thoracostomy for chest trauma.

OBJECTIVE To determine the insertional and positional complications encountered by the placement of intercostal chest drains (ICDs) for trauma and whether further training is warranted in operators inserting intercostal chest drains outside level 1 trauma unit settings. METHODS Over a period of 3 months, all patients with or without an ICD in situ in the front room trauma bay of Tygerberg Hos...

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Simple thoracostomy avoids chest drain insertion in prehospital trauma.

Tension pneumothorax and hemothorax are life-threatening emergencies that require immediate treatment. Field stabilization of trauma patients often requires rapid surgical drainage of these injuries but inevitably delays departure for hospital. Conventional treatment involves the insertion of a chest drain but we describe a modified technique of simple thoracostomy that is faster and simpler to...

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[Management of retained hemothoraces after chest tube thoracostomy for trauma].

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Life-saving or life-threatening? Prehospital thoracostomy for thoracic trauma.

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ژورنال

عنوان ژورنال: The Journal of Trauma: Injury, Infection, and Critical Care

سال: 2005

ISSN: 0022-5282

DOI: 10.1097/01.ta.0000171448.71301.13