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Original Article

The Safety andEfficacy of Prehospital Needle andTube Thoracostomy by Aeromedical Personnel

Pages 191-197 | Received 29 Sep 2005, Accepted 20 Dec 2005, Published online: 02 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (5)

Graham Newton, Gudrun Reay, Catherine M. Laing & Kathryn King-Shier. (2022) Clinical Characteristics of Patients Undergoing Needle Thoracostomy in a Canadian Helicopter Emergency Medical Service. Prehospital Emergency Care 26:3, pages 400-405.
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Arielle Thomas, K. Hope Wilkinson, Kevin Young, Timothy Lenz & Jillian Theobald. (2021) Complications from Needle Thoracostomy: Penetration of the Myocardium. Prehospital Emergency Care 25:3, pages 438-440.
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Robert L. Stevens, Angel A. Rochester, Jonathan Busko, Thomas Blackwell, Daniel Schwartz, Anne Argenta & Ronald F. Sing. (2009) Needle Thoracostomy for Tension Pneumothorax: Failure Predicted by Chest Computed Tomography. Prehospital Emergency Care 13:1, pages 14-17.
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John B. Holcomb, John G. McManus, S. T. Kerr & Anthony E. Pusateri. (2009) Needle versus Tube Thoracostomy in a Swine Model of Traumatic Tension Hemopneumothorax. Prehospital Emergency Care 13:1, pages 18-27.
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Keir J. Warner, Michael K. Copass & Eileen M. Bulger. (2008) Paramedic Use of Needle Thoracostomy in the Prehospital Environment. Prehospital Emergency Care 12:2, pages 162-168.
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Articles from other publishers (48)

Daniel Muchnok, Allison Vargo, Andrew-Paul Deeb, Francis X. Guyette & Joshua B. Brown. (2022) Association of Prehospital Needle Decompression With Mortality Among Injured Patients Requiring Emergency Chest Decompression. JAMA Surgery 157:10, pages 934.
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Rachel Strauss, Isabella Menchetti, Laure Perrier, Erik Blondal, Henry Peng, Wendy Sullivan-Kwantes, Homer Tien, Avery Nathens, Andrew Beckett, Jeannie Callum & Luis Teodoro da Luz. (2021) Evaluating the Tactical Combat Casualty Care principles in civilian and military settings: systematic review, knowledge gap analysis and recommendations for future research. Trauma Surgery & Acute Care Open 6:1, pages e000773.
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Stephanie Dorothy Pui-Ming Yu, James Siu Ki Lau, Ka Leung Mok & Pui Gay Kan. (2020) Sonographic evaluation of chest wall thickness in Chinese adults in Hong Kong: Should the updated (10th edition) Advance Trauma Life Support guidelines on preferred site of needle thoracocentesis in tension pneumothorax be adopted in the Asian population?. Trauma 23:2, pages 120-126.
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Emily A. Norris, Christian S. McEvoy, Matthew L. Leatherman, Michael R. Boboc, Jamie L. Fitch, Shane D. Jensen & Travis M. Polk. (2020) Comparison of 10- versus 14-gauge angiocatheter for treatment of tension pneumothorax and tension-induced pulseless electrical activity with hemorrhagic shock: Bigger is still better. Journal of Trauma and Acute Care Surgery 89:2S, pages S132-S136.
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Kevin N. Harrell, Dylan E. Brooks, Preston H. Palm, Jonathan T. Cowart, Robert Maxwell & Donald Barker. (2020) A Comparison of Prehospital Nonphysician and Hospital Physician Placed Tube Thoracostomy. The American Surgeon 86:7, pages 841-847.
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Byron C. Drumheller, Anthony Basel, Sakib Adnan, Joseph Rabin, Jason D. Pasley, Jason Brocker & Samuel M. GalvagnoJrJr. (2018) Comparison of a novel, endoscopic chest tube insertion technique versus the standard, open technique performed by novice users in a human cadaver model: a randomized, crossover, assessor-blinded study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 26:1.
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Matthew C. Hernandez, Moustafah El Khatib, Larry Prokop, Martin D. Zielinski & Johnathon M. Aho. (2018) Complications in tube thoracostomy: Systematic review and meta-analysis. Journal of Trauma and Acute Care Surgery 85:2, pages 410-416.
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Matthew L. Leatherman, Laura M. Fluke, Christian S. McEvoy, Douglas M. Pokorny, Robert L. Ricca, Matthew J. Martin, Christopher S. Gamble & Travis M. Polk. (2017) Bigger is better: Comparison of alternative devices for tension hemopneumothorax and pulseless electrical activity in a Yorkshire swine model. Journal of Trauma and Acute Care Surgery 83:6, pages 1187-1194.
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P. Caap, R. Aagaard, E. Sloth, B. Løfgren & A. Granfeldt. (2017) Reduced right ventricular diameter during cardiac arrest caused by tension pneumothorax - a porcine ultrasound study. Acta Anaesthesiologica Scandinavica 61:7, pages 813-823.
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Matthew L. Leatherman, Jenny M. Held, Laura M. Fluke, Christian S. McEvoy, Kenji Inaba, Daniel Grabo, Matthew J. Martin, Angela S. Earley, Robert L. Ricca & Travis M. Polk. (2017) Relative device stability of anterior versus axillary needle decompression for tension pneumothorax during casualty movement. Journal of Trauma and Acute Care Surgery 83:1, pages S136-S141.
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Alexander Kaserer, Philipp Stein, Hans-Peter Simmen, Donat R. Spahn & Valentin Neuhaus. (2017) Failure rate of prehospital chest decompression after severe thoracic trauma. The American Journal of Emergency Medicine 35:3, pages 469-474.
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Antoine Duwat, Daniel Jost, Olga Maurin, Benoît Houze & Jean-Pierre Tourtier. (2016) Stabilisation hémodynamique d’une tamponnade mixte sur plaies thoraciques par arme blanche : à propos d’un cas. Anesthésie & Réanimation 2:4, pages 243-246.
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Kevin High, Jeremy Brywczynski & Oscar Guillamondegui. (2016) Safety and Efficacy of Thoracostomy in the Air Medical Environment. Air Medical Journal 35:4, pages 227-230.
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Matthias Hecker, Katrin Hegenscheid, Henry Völzke, Peter Hinz, Jörn Lange, Axel Ekkernkamp & Matthias Frank. (2016) Needle decompression of tension pneumothorax. Journal of Trauma and Acute Care Surgery 80:1, pages 119-124.
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Adil H. Haider, Lydia C. Piper, Cheryl K. Zogg, Eric B. Schneider, Jean A. Orman, Frank K. Butler, Robert T. Gerhardt, Elliott R. Haut, Jacques P. Mather, Ellen J. MacKenzie, Diane A. Schwartz, David W. Geyer, Joseph J. DuBose, Todd E. Rasmussen & Lorne H. Blackbourne. (2015) Military-to-civilian translation of battlefield innovations in operative trauma care. Surgery 158:6, pages 1686-1695.
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P. Mörsdorf, S.C. Herath, H.V. Groesdonk, S. Hoersch, T. Pohlemann & M. Burkhardt. (2015) Penetrierende 2-Höhlen-Verletzung mit einer 20 cm langen dolchartigen Scherbe nach Sturz in eine GlastürPenetrating injury of two body cavities with a 20 cm long dagger-like sliver after falling into a glass door. Der Unfallchirurg 118:11, pages 982-986.
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Derek J. Roberts, Simon Leigh-Smith, Peter D. Faris, Christopher Blackmore, Chad G. Ball, Helen Lee Robertson, Elijah Dixon, Matthew T. James, Andrew W. Kirkpatrick, John B. Kortbeek & Henry T. Stelfox. (2015) Clinical Presentation of Patients With Tension Pneumothorax. Annals of Surgery 261:6, pages 1068-1078.
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Brian M. Clemency, Christopher T. Tanski, Michael Rosenberg, Paul R. May, Joseph D. Consiglio & Heather A. Lindstrom. (2015) Sufficient Catheter Length for Pneumothorax Needle Decompression: A Meta-Analysis. Prehospital and Disaster Medicine 30:3, pages 249-253.
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Joanne D Fisher, Karoline Freeman, Aileen Clarke, Peter Spurgeon, Mike Smyth, Gavin D Perkins, Mark-Alexander Sujan & Matthew W Cooke. (2015) Patient safety in ambulance services: a scoping review. Health Services and Delivery Research 3:21, pages 1-250.
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B.A. Zahoor, T.M. Scalea, M.R. Noorbakhsh & B.R. Bruns. (2015) Penetrating cardiac injury as the result of pre-hospital needle decompression. Heart, Lung and Circulation 24, pages e69-e72.
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Derek J Roberts, Simon Leigh-Smith, Peter D Faris, Chad G Ball, Helen Lee Robertson, Christopher Blackmore, Elijah Dixon, Andrew W Kirkpatrick, John B Kortbeek & Henry Thomas Stelfox. (2014) Clinical manifestations of tension pneumothorax: protocol for a systematic review and meta-analysis. Systematic Reviews 3:1.
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Daniel Grabo, Kenji Inaba, Peter Hammer, Efstathios Karamanos, Dimitra Skiada, Matthew Martin, Maura Sullivan & Demetrios Demetriades. (2014) Optimal training for emergency needle thoracostomy placement by prehospital personnel. Journal of Trauma and Acute Care Surgery 77:3, pages S109-S113.
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Quinton Hatch, Mia Debarros, Eric Johnson, Kenji Inaba & Matthew Martin. (2014) Standard laparoscopic trocars for the treatment of tension pneumothorax. Journal of Trauma and Acute Care Surgery 77:1, pages 170-175.
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Darren Braude, Dominic Tutera, Issac Tawil & Gregory Pirkl. (2014) Air Transport of Patients with Pneumothorax: Is Tube Thoracostomy Required Before Flight?. Air Medical Journal 33:4, pages 152-156.
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Jonty Robinson, Erica Ley & Adam Chesters. (2014) Essex and Herts Air Ambulance: a focused case series for pre-hospital practice Case 2: tension pneumothorax. Journal of Paramedic Practice 6:6, pages 304-308.
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Jen-Tang Sun, Chun-Yen Huang, Yi-Shin Huang, Shyh-Shyong Sim, Kah-Meng Chong, Hsiu-Po Wang & Wan-Ching Lien. (2014) Prehospital Ultrasound. Journal of Medical Ultrasound 22:2, pages 71-77.
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Dafney Lubin, Andrew L. Tang, Randall S. Friese, Matthew Martin, DJ Green, Trevor Jones, Russell R. Means, Rashna Ginwalla, Terence S. O’Keeffe, Bellal A. Joseph, Julie L. Wynne, Narong Kulvatunyou, Gary Vercruysse, Lynn Gries & Peter Rhee. (2013) Modified Veress needle decompression of tension pneumothorax. Journal of Trauma and Acute Care Surgery 75:6, pages 1071-1075.
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Haldun Akoglu, Ebru Unal Akoglu, Serdar Evman, Tayfun Akoglu, Arzu Denizbasi Altinok, Ozlem Guneysel, Ozge Ecmel Onur & Serkan Emre Eroglu. (2013) Determination of the appropriate catheter length and place for needle thoracostomy by using computed tomography scans of pneumothorax patients. Injury 44:9, pages 1177-1182.
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David J. Lockey, Richard M. Lyon & Gareth E. Davies. (2013) Development of a simple algorithm to guide the effective management of traumatic cardiac arrest. Resuscitation 84:6, pages 738-742.
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Matthew Martin, Steven Satterly, Kenji Inaba & Kelly Blair. (2012) Does needle thoracostomy provide adequate and effective decompression of tension pneumothorax?. Journal of Trauma and Acute Care Surgery 73:6, pages 1412-1417.
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Steven Housden. (2012) Blast injury: A case study. International Emergency Nursing 20:3, pages 173-178.
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Matthew Lyon, Perry Walton, Valori Bhalla & Stephen A. Shiver. (2012) Ultrasound detection of the sliding lung sign by prehospital critical care providers. The American Journal of Emergency Medicine 30:3, pages 485-488.
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Takeshi Yamagiwa, Seiji Morita, Rie Yamamoto, Tomoko Seki, Katsuhiko Sugimoto & Sadaki Inokuchi. (2012) Determination of the appropriate catheter length for needle thoracostomy by using computed tomography scans of trauma patients in Japan. Injury 43:1, pages 42-45.
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Kenji Inaba, Bernardino C. Branco, Marc Eckstein, David V. Shatz, Matthew J. Martin, Donald J. Green, Thomas T. Noguchi & Demetrios Demetriades. (2011) Optimal Positioning for Emergent Needle Thoracostomy: A Cadaver-Based Study. Journal of Trauma: Injury, Infection & Critical Care 71:5, pages 1099-1103.
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A. Robb McLean, Michael E. Richards, Cameron S. Crandall & Jonathan L. Marinaro. (2011) Ultrasound determination of chest wall thickness: implications for needle thoracostomy. The American Journal of Emergency Medicine 29:9, pages 1173-1177.
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Dylan Griffin. (2011) Trauma: just another statistic?. Journal of Paramedic Practice 3:7, pages 382-387.
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. (2013) Model Uniform Core Criteria for Mass Casualty Triage. Disaster Medicine and Public Health Preparedness 5:2, pages 125-128.
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E. Brooke Lerner, David C. Cone, Eric S. Weinstein, Richard B. Schwartz, Phillip L. Coule, Michael Cronin, Ian S. Wedmore, Eileen M. Bulger, Deborah Ann Mulligan, Raymond E. Swienton, Scott M. Sasser, Umair A. Shah, Leonard J. WeireterJrJr, Teri L. Sanddal, Julio Lairet, David Markenson, Lou Romig, Gregg Lord, Jeffrey Salomone, Robert O'Connor & Richard C. Hunt. (2013) Mass Casualty Triage: An Evaluation of the Science and Refinement of a National Guideline. Disaster Medicine and Public Health Preparedness 5:2, pages 129-137.
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Alen Protic, Igor Barkovic, Marina Bralic, Tedi Cicvaric, Sanja Stifter & Alan Sustic. (2010) Targeted wire-guided chest tube placement: a cadaver study. European Journal of Emergency Medicine 17:3, pages 146-149.
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Caesar Ursic & Kate Curtis. (2010) Thoracic and neck trauma. Part two. International Emergency Nursing 18:2, pages 99-108.
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Andrew B. Peitzman & Babak Sarani. 2010. Damage Control Management in the Polytrauma Patient. Damage Control Management in the Polytrauma Patient 101 122 .
Ian Mursell. (2009) Prehospital pleural decompression: a new way? : a new approach. Journal of Paramedic Practice 1:14, pages 583-591.
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Matthew D. Sztajnkrycer. (2012) Needle Thoracostomy by Non-Medical Law Enforcement Personnel: Preliminary Data on Knowledge Retention. Prehospital and Disaster Medicine 23:6, pages 553-557.
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Fernando Antonio Campelo Spencer Netto, Harry Shulman, Sandro Baleotti Rizoli, Lorraine Norah Tremblay, Frederick Brenneman & Homer Tien. (2008) Are needle decompressions for tension pneumothoraces being performed appropriately for appropriate indications?. The American Journal of Emergency Medicine 26:5, pages 597-602.
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Christopher J Aylwin, Karim Brohi, Gareth D Davies & Michael S Walsh. (2008) Pre-Hospital and In-Hospital Thoracostomy: Indications and Complications. The Annals of The Royal College of Surgeons of England 90:1, pages 54-57.
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Imme Zengerink, Peter R. Brink, Kevin B. Laupland, Earl L. Raber, Dave Zygun & John B. Kortbeek. (2008) Needle Thoracostomy in the Treatment of a Tension Pneumothorax in Trauma Patients: What Size Needle?. Journal of Trauma: Injury, Infection & Critical Care 64:1, pages 111-114.
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Shigeaki Inoue, Noboru Nishiumi, Seiji Morita, Hiroyuki Otsuka, Yoshihide Nakagawa, Isotoshi Yamamoto & Sadaki Inokuchi. (2007) The Effectiveness of Prehospital Chest Tube Thoracostomy in Patients Treated by a Physician-Staffed Helicopter Emergency Medical Service. Nihon Kyukyu Igakukai Zasshi 18:9, pages 637-643.
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Christian Waydhas & Stefan Sauerland. (2007) Pre-hospital pleural decompression and chest tube placement after blunt trauma: A systematic review. Resuscitation 72:1, pages 11-25.
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