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    Clinical suspicion regarding needle decompression for patients with chest trauma

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    Author
    Beaven, Alastair
    Harrison, James
    Porter, Keith
    Steyn, Richard
    Keyword
    Emergency Medical Services
    Heart Massage
    Trauma
    Hypoventilation
    Pneumothorax
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/632
    DOI
    10.12968/jpar.2019.11.8.330
    Abstract
    Abstract published with permission. Background: Needle decompression of the chest is indicated for patients in a critical condition with rapid deterioration who have a life-threatening tension pneumothorax. Aim: To reassure UK prehospital care providers that needle decompression of the chest is not commonly required in chest trauma patients, and most can be safely managed without it. Methods: Case studies as part of a major trauma network continuous review process have revealed instances of needle decompression in the absence of tension pneumothorax. Images are presented where needle decompression was attempted in the absence of tension pneumothorax. Context: Expert opinion from our network's multidisciplinary trauma team discuss the occurrence of tension pneumothorax in self-ventilating patients, and the idea that tension pneumothorax is rare in the UK civilian trauma population is acknowledged. Other causes of chest hypoventilation are discussed.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2019.11.8.330
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