PMID- 26100771
OWN - NLM
STAT- MEDLINE
DCOM- 20150810
LR  - 20191210
IS  - 1488-2310 (Electronic)
IS  - 0008-428X (Print)
IS  - 0008-428X (Linking)
VI  - 58
IP  - 3 Suppl 3
DP  - 2015 Jun
TI  - Needle thoracostomy for tension pneumothorax: the Israeli Defense Forces 
      experience.
PG  - S118-24
AB  - BACKGROUND: Point of injury needle thoracostomy (NT) for tension pneumothorax is 
      potentially lifesaving. Recent data raised concerns regarding the efficacy of 
      conventional NT devices. Owing to these considerations, the Israeli Defense 
      Forces Medical Corps (IDF-MC) recently introduced a longer, wider, more durable 
      catheter for the performance of rapid chest decompression. The present series 
      represents the IDF-MC experience with chest decompression by NT. METHODS: We 
      reviewed the IDF trauma registry from January 1997 to October 2012 to identify 
      all cases in which NT was attempted. RESULTS: During the study period a total of 
      111 patients underwent chest decompression by NT. Most casualties (54%) were 
      wounded as a result of gunshot wounds (GSW); motor vehicle accidents (MVAs) were 
      the second leading cause (16%). Most (79%) NTs were performed at the point of 
      injury, while the rest were performed during evacuation by ambulance or 
      helicopter (13% and 4%, respectively). Decreased breath sounds on the affected 
      side were one of the most frequent clinical indications for NT, recorded in 28% 
      of cases. Decreased breath sounds were more common in surviving than in 
      nonsurviving patients. (37% v. 19%, p < 0.001). A chest tube was installed on the 
      field in 35 patients (32%), all after NT. CONCLUSION: Standard NT has a high 
      failure rate on the battlefield. Alternative measures for chest decompression, 
      such as the Vygon catheter, appear to be a feasible alternative to conventional 
      NT.
FAU - Chen, Jacob
AU  - Chen J
AD  - The IDF Medical Corps, the Department of Surgery, Rabin Medical Center, Beilinson 
      Campus, Petach Tikva, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 
      Israel and the US Army Institute of Surgical Research, Fort Sam, Houston, Texas.
FAU - Nadler, Roy
AU  - Nadler R
AD  - The IDF Medical Corps, Israel.
FAU - Schwartz, Dagan
AU  - Schwartz D
AD  - The IDF Medical Corps, the Department of Emergency Medicine, Ben Gurion 
      University of the Negev, Beer Sheva, Israel.
FAU - Tien, Homer
AU  - Tien H
AD  - The Canadian Forces Health Services, the 1 Canadian Field Hospital, Petawawa, 
      Ont., the Trauma Services and the Department of Surgery, Sunnybrook Health 
      Sciences Centre, Toronto, Ont.
FAU - Cap, Andrew P
AU  - Cap AP
AD  - The US Army Institute of Surgical Research, Fort Sam, Houston, Texas.
FAU - Glassberg, Elon
AU  - Glassberg E
AD  - The IDF Medical Corps, the Trauma & Combat Medicine Branch, Surgeon General's HQ, 
      Israel Defense Forces, Ramat Gan, Israel.
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - Canada
TA  - Can J Surg
JT  - Canadian journal of surgery. Journal canadien de chirurgie
JID - 0372715
SB  - IM
MH  - Adult
MH  - Decompression, Surgical/*instrumentation
MH  - Female
MH  - Humans
MH  - Israel
MH  - Male
MH  - *Military Personnel
MH  - *Needles
MH  - Pneumothorax/etiology/*surgery
MH  - Registries
MH  - Retrospective Studies
MH  - Thoracic Injuries/etiology/*surgery
MH  - Thoracostomy/*instrumentation
MH  - Treatment Outcome
PMC - PMC4467495
EDAT- 2015/06/24 06:00
MHDA- 2015/08/11 06:00
PMCR- 2015/06/01
CRDT- 2015/06/24 06:00
PHST- 2015/06/24 06:00 [entrez]
PHST- 2015/06/24 06:00 [pubmed]
PHST- 2015/08/11 06:00 [medline]
PHST- 2015/06/01 00:00 [pmc-release]
AID - 10.1503/cjs.012914 [pii]
AID - 058s118 [pii]
AID - 10.1503/cjs.012914 [doi]
PST - ppublish
SO  - Can J Surg. 2015 Jun;58(3 Suppl 3):S118-24. doi: 10.1503/cjs.012914.