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We report the use of the Asherman chest seal as a stabilisation device for needle thoracocentesis in the prehospital environment. Although this piece of equipment has been available for five years, primarily for the prehospital treatment of chest wounds,1 this novel modification of its purpose increases its application to prehospital care. This work was prepared on behalf of the research and developments committee of the Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh.
The driver of an articulated lorry was heavily trapped in wreckage after his vehicle was involved in a collision with the rear end of a lorry laying out cones. Examination at scene revealed a left sided chest injury, possible intra-abdominal injury, and probable fractured pelvis. After extrication, the patient's condition suddenly …