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Do mannequin chests provide an accurate representation of a human chest for simulated decompression of tension pneumothoraxes?

引用

World Journal of Emergency Medicine 2012年第4期3卷 265-269页

作者： Malcolm J Boyle Brett Williams Simon Dousek Department of Community Emergency Health and Paramedic Practice

BACKGROUND:Tension pneumothorax(TPX) is an uncommon but life-threatening *** is important that this uncommon presentation,managed by needle decompression,is practised by paramedics using a range of educationally sound and realistic *** objective of this study is to identify if the chest wall thickness(CWT) of training mannequins used for chest decompression is an anatomically accurate representation of a human ***:This is a two-part study.A review of the literature was conducted to identify chest wall thickness in humans and measurement of chest wall thickness on two commonly used *** literature search was conducted using the Cochrane Central Register of Controlled Trials,MEDLINE,CINAHL,and EMBASE databases from their beginning until the end of May *** words included chest wall thickness,tension pneumothorax,pneumothorax,thoracostomy,needle thoracostomy,decompression,and needle *** were included if they reported chest wall ***:For the literature review,4 461 articles were located with 9 meeting the inclusion *** wall thickness in adults varied between 1.3 cm and 9.3 cm at the area of the second intercostal space mid clavicular *** Laerdal? manikin in the area of the second intercostal space mid clavicular line,right side of the chest was 1.1 cm thick with the left 1.5 *** MPL manikin in the same area or on the right side of the chest was 1.4 cm thick but on the left 1.0 ***:Mannequin chests are not an accurate representation of the human chest when used for decompressing a tension pneumothorax and therefore may not provide a realistic experience.

关键词： chest wall thickness Tension pneumothorax chest decompression Mannequin anatomical accuracy Emergency medical technicians

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