A Novel Technique for Temporally Securing a Chest Tube in a Resource-Limited Environment

In the prehospital, transport, and resource-limited setting, patients with traumatic hemothorax, pneumothorax, or cardiac arrest require emergency tube thoracostomy for stabilization and transport. With the possibility of multiple patients, limited providers, and inability to commit a 1:1 provider-t...

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Bibliographic Details
Published inAir medical journal Vol. 43; no. 4; pp. 345 - 347
Main Authors Osborn, Harmony, Newmyer, Aileen, Krebs, William
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2024
Subjects
Air Ambulances
Chest Tubes
Emergency Medical Services - methods
Hemothorax - therapy
Humans
Male
Pneumothorax - therapy
Thoracostomy - instrumentation
Thoracostomy - methods
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Summary:In the prehospital, transport, and resource-limited setting, patients with traumatic hemothorax, pneumothorax, or cardiac arrest require emergency tube thoracostomy for stabilization and transport. With the possibility of multiple patients, limited providers, and inability to commit a 1:1 provider-to-patient ratio for safe tubeless thoracostomies, a chest tube is often the safest option. Mercy Health Life Flight Air Medical program has developed practice over decades using towel clamps and tape to achieve securement rapidly and reliably. We report on this subject as an option for temporarily securing a chest tube in the disaster, resource-poor, prehospital, or critical care transport setting.
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ISSN:1067-991X
1532-6497
1532-6497
DOI:10.1016/j.amj.2024.03.010