Life-Threatening Collapsed Lung: Survival Better With Prehospital Needle Insertion
(MedPage Today) -- For trauma patients who require emergent chest decompression, prehospital needle decompression (PHND) was associated with a lower risk of mortality compared with tube thoracostomy, a cohort study found. Those receiving PHND... (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - August 18, 2022 Category: Surgery Source Type: news

International Prehospital Medicine Institute Literature Review, January 2021
This study compares the 10-g AC to the 14-g AC for decompression of a tPTX and rescue from a tension-induced pulseless electrical activity (tPEA) in the setting of 30% estimated blood volume loss without hemothorax. The authors hypothesized the 10-g AC would be more effective and have a faster rescue from tension physiology than the 14-g AC currently used by most EMS systems. This was an animal study utilizing anesthetized pigs. The researchers placed arterial and venous lines for hemodynamic monitoring. They then placed 12-mm trocars through each diaphragm through which they could infuse carbon dioxide to simulate a te...
Source: JEMS Patient Care - January 1, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives International Prehospital Medicine Institute Source Type: news

International Prehospital Medicine Institute Literature Review, January 2021
This study compares the 10-g AC to the 14-g AC for decompression of a tPTX and rescue from a tension-induced pulseless electrical activity (tPEA) in the setting of 30% estimated blood volume loss without hemothorax. The authors hypothesized the 10-g AC would be more effective and have a faster rescue from tension physiology than the 14-g AC currently used by most EMS systems. This was an animal study utilizing anesthetized pigs. The researchers placed arterial and venous lines for hemodynamic monitoring. They then placed 12-mm trocars through each diaphragm through which they could infuse carbon dioxide to simulate a te...
Source: JEMS Administration and Leadership - January 1, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives International Prehospital Medicine Institute Source Type: news

International Prehospital Medicine Institute Literature Review, January 2021
This study compares the 10-g AC to the 14-g AC for decompression of a tPTX and rescue from a tension-induced pulseless electrical activity (tPEA) in the setting of 30% estimated blood volume loss without hemothorax. The authors hypothesized the 10-g AC would be more effective and have a faster rescue from tension physiology than the 14-g AC currently used by most EMS systems. This was an animal study utilizing anesthetized pigs. The researchers placed arterial and venous lines for hemodynamic monitoring. They then placed 12-mm trocars through each diaphragm through which they could infuse carbon dioxide to simulate a te...
Source: JEMS Latest News - January 1, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives International Prehospital Medicine Institute Source Type: news

International Prehospital Medicine Institute Literature Review, January 2021
This study compares the 10-g AC to the 14-g AC for decompression of a tPTX and rescue from a tension-induced pulseless electrical activity (tPEA) in the setting of 30% estimated blood volume loss without hemothorax. The authors hypothesized the 10-g AC would be more effective and have a faster rescue from tension physiology than the 14-g AC currently used by most EMS systems. This was an animal study utilizing anesthetized pigs. The researchers placed arterial and venous lines for hemodynamic monitoring. They then placed 12-mm trocars through each diaphragm through which they could infuse carbon dioxide to simulate a te...
Source: JEMS: Journal of Emergency Medical Services News - January 1, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives International Prehospital Medicine Institute Source Type: news

International Prehospital Medicine Institute Literature Review, January 2021
This study compares the 10-g AC to the 14-g AC for decompression of a tPTX and rescue from a tension-induced pulseless electrical activity (tPEA) in the setting of 30% estimated blood volume loss without hemothorax. The authors hypothesized the 10-g AC would be more effective and have a faster rescue from tension physiology than the 14-g AC currently used by most EMS systems. This was an animal study utilizing anesthetized pigs. The researchers placed arterial and venous lines for hemodynamic monitoring. They then placed 12-mm trocars through each diaphragm through which they could infuse carbon dioxide to simulate a te...
Source: JEMS Operations - January 1, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives International Prehospital Medicine Institute Source Type: news

International Prehospital Medicine Institute Literature Review, January 2021
This study compares the 10-g AC to the 14-g AC for decompression of a tPTX and rescue from a tension-induced pulseless electrical activity (tPEA) in the setting of 30% estimated blood volume loss without hemothorax. The authors hypothesized the 10-g AC would be more effective and have a faster rescue from tension physiology than the 14-g AC currently used by most EMS systems. This was an animal study utilizing anesthetized pigs. The researchers placed arterial and venous lines for hemodynamic monitoring. They then placed 12-mm trocars through each diaphragm through which they could infuse carbon dioxide to simulate a te...
Source: JEMS Special Topics - January 1, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives International Prehospital Medicine Institute Source Type: news

What Is a Tube Thoracostomy?
Title: What Is a Tube Thoracostomy?Category: Procedures and TestsCreated: 8/5/2020 12:00:00 AMLast Editorial Review: 8/5/2020 12:00:00 AM (Source: MedicineNet Lungs General)
Source: MedicineNet Lungs General - August 5, 2020 Category: Respiratory Medicine Source Type: news

What Are the Strategies for Tube Thoracostomy Management?
Title: What Are the Strategies for Tube Thoracostomy Management?Category: Procedures and TestsCreated: 7/30/2020 12:00:00 AMLast Editorial Review: 7/30/2020 12:00:00 AM (Source: MedicineNet Lungs General)
Source: MedicineNet Lungs General - July 30, 2020 Category: Respiratory Medicine Source Type: news

Operative management of thoracic gunshot wounds: more aggressive treatment has been required over time - Miller KR, Benns MV, Bozeman MC, Franklin GA, Harbrecht BG, Nash NA, Smith JW, Smock WS, Richardson JD.
Our department has a database of thoracic gunshot wounds (GSWs), which has cataloged these injury patterns over the past five decades. Prevailing wisdom on the management of these injuries suggested operative treatment beyond tube thoracostomy is not commo... (Source: SafetyLit)
Source: SafetyLit - November 30, 2019 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

J & amp;J ’s Auris Has Solid Data to Support Monarch
Johnson & Johnson’s Auris Health revealed late-breaking data from the BENEFIT study during the CHEST 2019 Conference in New Orleans last week. BENEFIT is a study of the Monarch Platform, a robotic technology indicated for the use in diagnostic and therapeutic bronchoscopic procedures. BENEFIT assessed the safety and feasibility of using a robotic system to aid in the diagnosis of peripheral pulmonary lesions 1cm to 5 cm in size. During the study, investigators performed robotic-assisted bronchoscopy using the Monarch Platform on 55 patients across five study sites. The Monarch Platform localized targe...
Source: MDDI - October 26, 2019 Category: Medical Devices Authors: Omar Ford Tags: Software Source Type: news

REBOA: The Next Stop on the Road to Trauma Management?
The management of major trauma has a long history of failures found along a road of good intention. From Military Anti-Shock Trousers (MAST) to aggressive crystalloid administration, we’ve seen management strategies come and go over the years, after the reality of the practice didn’t measure up to the expectation of improved outcomes. Today, we have several novel concepts being implemented across the world to try to move the needle for trauma resuscitation. Tranexamic acid (TXA), blood product administration, and simple (finger) thoracostomy are a few of the advances that seem to be gaining interest in EMS. Although th...
Source: JEMS Special Topics - July 5, 2018 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP, NRP Tags: Trauma Exclusive Articles Columns Source Type: news

REBOA: The Next Stop on the Road to Trauma Management?
The management of major trauma has a long history of failures found along a road of good intention. From Military Anti-Shock Trousers (MAST) to aggressive crystalloid administration, we’ve seen management strategies come and go over the years, after the reality of the practice didn’t measure up to the expectation of improved outcomes. Today, we have several novel concepts being implemented across the world to try to move the needle for trauma resuscitation. Tranexamic acid (TXA), blood product administration, and simple (finger) thoracostomy are a few of the advances that seem to be gaining interest in EMS. Although th...
Source: JEMS Patient Care - July 5, 2018 Category: Emergency Medicine Authors: Mark E.A. Escott, MD, MPH, FACEP, NRP Tags: Trauma Columns Source Type: news

Live tissue vs synthetic tissue training for critical procedures: No difference in performance
(Society for Academic Emergency Medicine) Training on the synthetic training model (STM) or live tissue (LT) model does not result in a difference in subsequent performance for five of the seven critical procedures examined: junctional hemorrhage wound packing, tourniquet, chest seal, nasopharyngeal airway, and needle thoracostomy. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 23, 2018 Category: International Medicine & Public Health Source Type: news

Traumatic rupture of a posterior mediastinal teratoma following motor-vehicle accident - Bell C, Domingo F, Miller AD, Smith JS, Headrick JR.
We report a case of a posterior mediastinal mature cystic teratoma with rupture secondary to blunt chest trauma in a 20-year-old male involved in a motor-vehicle accident. Initial treatment was guided by Advanced Trauma Life Support and a tube thoracostomy... (Source: SafetyLit)
Source: SafetyLit - November 9, 2016 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news