The most common life-threatening complications from both blunt and penetrating thoracic injury are hemothorax, pneumothorax, or a combination of both. New guidelines, set out by the Tactical Combat Casualty Care (TCCC), advises that vented chest seal dressings are used to manage open or sucking chest wounds. Designing out risk is a fundamental criterion for ensuring the optimal performance of a device is obtained that offers the casualty the greatest chance of survival. Two key areas of risk in the application of vented chest seal dressings are adhesion failure and vent failure. This study assesses a new design of vented chest seal dressing for both adhesion and vent profile. The development of this new design for a vented chest seal has been tested for adhesion and venting properties and shown to have performance criteria suitable for the treatment of open pneumothorax and design features that minimize the risk of product failure during use.
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http://dx.doi.org/10.55460/28BO-67AK | DOI Listing |
Int J Surg Case Rep
January 2025
Department of Surgery, School of Medicine, Collage of Health Sciences, Salale University, Fiche, Ethiopia. Electronic address:
Introduction: Accessory breast tissue is a rare condition occurring in 1-3 % of males, primarily in the bilateral axillary region. Kajava Class I accessory breast, characterized by glandular tissue, an areola, and a nipple, is rarely reported. This case report highlights the clinical presentation, diagnostic approach, and management of this rare entity in an elderly male.
View Article and Find Full Text PDFPrehosp Emerg Care
December 2024
LA County EMS Agency, Santa Fe Springs, California.
Cureus
May 2024
Department of Thoracic Surgery, Oita Red Cross Hospital, Oita, JPN.
Subcutaneous emphysema is a common complication of thoracic surgery. Tension subcutaneous emphysema that causes airway obstruction is rare but life-threatening. This report presents a patient who developed tension subcutaneous emphysema after recurrent secondary pneumothorax surgery which was treated with minimally invasive open-window thoracostomy.
View Article and Find Full Text PDFUndersea Hyperb Med
April 2024
Section Head, Emergency Medicine, Louisiana State University Health Science Center, New Orleans, Louisiana, U.S.
The presence of a pneumothorax within a pressurized chamber represents unique diagnostic and management challenges. This is particularly the case in the medical and geographic remoteness of many chamber locations. Upon commencing chamber decompression, unvented intrapleural air expands.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
August 2024
Institute of Emergency Medicine and Medical Management, LMU Munich University Hospital, Munich, Germany.
Purpose: Our aim was to review and update the existing evidence-based and consensus-based recommendations for the management of chest injuries in patients with multiple and/or severe injuries in the prehospital setting. This guideline topic is part of the 2022 update of the German Guideline on the Treatment of Patients with Multiple and/or Severe Injuries.
Methods: MEDLINE and Embase were systematically searched to May 2021.
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