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Tension pneumothorax—time for a re-think?
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  • Published on:
    Authors response

    Dear Editor,

    We welcome the recent comments from Dr Chiquito-Lopez but despite the difficulty in correctly diagnosing this condition we would re-iterate our belief that needle thoracocentesis is sometimes performed indiscriminately and its use should be limited – a view shared by other authors.[1-5] The decision relating to whether or not to immediately decompress a suspected tension pneumothorax depends on whether...

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    Conflict of Interest:
    None declared.
  • Published on:
    Tension pneumothorax - time for a re-think?

    Dear Editor,

    I have two comments to make to the interesting and stimulating article by S Leigh-Smith and T Harris on tension pneumothorax.[1]

    1. The number of needle thoracocentesis far exceeds the incidence of tension pneumothorax because it can be difficult to distinguish this condition from a large or even moderate size pneumothorax presenting with rapid respiratory or haemodynamic deterioration in pati...

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    Conflict of Interest:
    None declared.
  • Published on:
    Authors' reply

    Dear Editor,

    We are grateful for your comments on our recent review of tension pneumothorax (TPT) and it is especially useful to have the opinion of someone with as much clinical experience of the condition as yourself. We do not have all the answers and have attempted to highlight some of the difficulties involved in the present understanding of this condition – hence the title of the review; "...time for a re...

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    Conflict of Interest:
    None declared.
  • Published on:
    Tension Pneumothorax - does it really occur that often?

    Dear Editor,

    I write regarding the review published in the EMJ [1], a photocopy of which was presented to me by a student paramedic to comment on. I take this opportunity to submit a rapid response.

    You correctly state that the definition of Tension Pneumothorax is difficult to pin down early in your article and that the various definitions contain combinations of various criteria. With this I concur....

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    Conflict of Interest:
    None declared.