Article Text

Download PDFPDF

Tension pneumothorax: a difficult diagnosis
Free
  1. B L Watts,
  2. M A Howell
  1. Accident and Emergency Department, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth, Hampshire PO6 3LY, UK
  1. Correspondence to: Dr Watts (beverleywatts{at}ukgateway.net)

Statistics from Altmetric.com

A 65 year old man was brought into the resuscitation room in cardiac arrest. Forty five minutes earlier he had become short of breath before collapsing. The only other history available was that he had undergone a left pneumonectomy several years previously for carcinoma of the lung but was thought to have made a full recovery. Basic life support was performed by the patient's work colleagues and when the paramedics arrived the patient was asystolic. He was treated according to Advanced Life Support (ALS) guidelines1 and briefly regained a cardiac output before he arrested again, this time in electro-mechanical dissociation (EMD). A total of 8 mg of adrenaline (epinephrine) was given by the paramedics. On arrival at the accident and emergency department the patient was intubated and cannulated. The …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.