Occult Traumatic Loculated Tension Pneumothorax—A Sonographic Diagnostic Dilemma

Burns, Brian; Aguirrebarrena, Gonzalo

doi:10.3109/10903127.2012.710720

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Military rescue support is an important sector of application and of experimental development of TUS, due to the frequent occurrence of traumatic or infectious chest disease in war scenarios[ 87 - 94 ]. Its use is warranted in many mobile facilities, including helicopters[ 33 , 95 - 100 ], even if an integrated use with other procedures, mainly cardiological, deserves a greater level of precision[ 101 ].…”

Section: Occupational and Sport Medicine Military And Mobile Rescue mentioning

confidence: 99%

Thoracic ultrasound: An adjunctive and valuable imaging tool in emergency, resource-limited settings and for a sustainable monitoring of patients

Trovato¹,

Catalano²,

Trovato³

2016

WJR

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Imaging workup of patients referred for elective assessment of chest disease requires an articulated approach: Imaging is asked for achieving timely diagnosis. The concurrent or subsequent use of thoracic ultrasound (TUS) with conventional (chest X-rays-) and more advanced imaging procedures (computed tomography and magnetic resonance imaging) implies advantages, limitations and actual problems. Indeed, despite TUS may provide useful imaging of pleura, lung and heart disease, emergency scenarios are currently the most warranted field of application of TUS: Pleural effusion, pneumothorax, lung consolidation. This stems from its role in limited resources subsets; actually, ultrasound is an excellent risk reducing tool, which acts by: (1) increasing diagnostic certainty; (2) shortening time to definitive therapy; and (3) decreasing problems from blind procedures that carry an inherent level of complications. In addition, paediatric and newborn disease are particularly suitable for TUS investigation, aimed at the detection of congenital or acquired chest disease avoiding, limiting or postponing radiological exposure. TUS improves the effectiveness of elective medical practice, in resource-limited settings, in small point of care facilities and particularly in poorer countries. Quality and information provided by the procedure are increased avoiding whenever possible artefacts that can prevent or mislead the achievement of the correct diagnosis. Reliable monitoring of patients is possible, taking into consideration that appropriate expertise, knowledge, skills, training, and even adequate equipment’s suitability are not always and everywhere affordable or accessible. TUS is complementary imaging procedure for the radiologist and an excellent basic diagnostic tool suitable to be shared with pneumologists, cardiologists and emergency physicians.

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Section: Occupational and Sport Medicine Military And Mobile Rescue mentioning

confidence: 99%

Thoracic ultrasound: An adjunctive and valuable imaging tool in emergency, resource-limited settings and for a sustainable monitoring of patients

Trovato¹,

Catalano²,

Trovato³

2016

WJR

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“…Prehospital identification of pneumothorax with US has already been successfully taught, in a French system that emphasized the importance of identifying pneumothorax in the field to enable immediately life-saving interventions [14]. There are caveats regarding application of US (e.g., need for a lateral view to avoid underdiagnosis) [15], but existing evidence supports pursuing both physician and nonphysician use of US to identify pneumothorax in the field [16]. …”

Section: Pulmonary Ultrasoundmentioning

confidence: 99%

Trauma Ultrasound in Civilian Tactical Medicine

Whelan

Justice

Goodloe

et al. 2012

Emergency Medicine International

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The term “tactical medicine” can be defined in more than one way, but in the nonmilitary setting the term tactical emergency medical services (TEMS) is often used to denote medical support operations for law enforcement. In supporting operations involving groups such as special weapons and tactics (SWAT) teams, TEMS entail executing triage, diagnosis, stabilization, and evacuation decision-making in challenging settings. Ultrasound, now well entrenched as a part of trauma evaluation in the hospital setting, has been investigated in the prehospital arena and may have utility in TEMS. This paper addresses potential use of US in the tactical environment, with emphasis on the lessons of recent years' literature. Possible uses of US are discussed, in terms of both specific clinical applications and also with respect to informing triage and related decision making.

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