Improvement in the prehospital recognition of tension pneumothorax: The effect of a change to paramedic guidelines and education
Kate Cantwell, Stephen Burgess, Ian Patrick, Louise Niggemeyer, Mark Fitzgerald, Peter Cameron, Colin Jones, Diane Pascoe
Injury: International Journal of the Care of the Injured | ELSEVIER SCI LTD | Published : 2014
INTRODUCTION: An audit of ambulance service clinical records from 2001 to 2002 in Melbourne, Australia revealed 10 patients with tension pneumothorax on arrival at hospital which had been undetected or untreated by paramedics. The clinical practice guideline for paramedic recognition of tension pneumothorax was subsequently changed to emphasise heightened clinical suspicion of a tension pneumothorax in the setting of chest trauma, especially when patients were managed with positive pressure ventilation. This study was undertaken to determine whether the number of undetected or untreated tension pneumothoraces had decreased after the new clinical practice guideline and associated education pr..View full abstract
This research project was funded by the Victorian Trauma Foundation's Trauma Improvement Program.