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The prehospital management of chest injuries: a consensus statement. Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh
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  • Published on:
    Response: Signs of Tension Pneumothorax
    • Caroline Lee
    • Other Contributors:
      • Keith Porter, Richard Steyn

    We would wholeheartedly agree with Simon Leigh-Smith's comments that overall there will be hyperexpansion and a hypomobile chest on the affected side in a tension pneumothorax. The hyperexpansion will mean there will be ‘reduced chest expansion’ with each inspiratory effort but perhaps the word ‘expansion’ should have been replaced with ‘movement’ to clarify this point.

    Conflict of Interest:
    None declared.
  • Published on:
    Tension Pneumothorax prevalence - grossly exaggerated

    Dear Editor,

    This paper stated prevalence of Tension Pneumothorax which is misleading and up to 20 times higher than that which might be seen by the standard pre-hospital care practitioner. Further analysis of the two references used for this statement is given and it can be seen that their results should not be extrapolated to the general pre-hospital environment without qualification.

    Coats describe...

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    Conflict of Interest:
    None declared.
  • Published on:
    Signs of Tension Pneumothorax

    Dear Editor,

    Table 1 states decreased ipsilateral expansion found in tension pneumothorax. This is incorrect. A HYPER-expanded (and hypo-mobile) ipsilateral hemi-thorax is almost pathognomonic of this condition.

    Conflict of Interest:
    None declared.