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

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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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SARS-CoV-2 with concurrent coccidioidomycosis complicated by refractory pneumothorax in a Hispanic male: A case report and literature review

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World Journal of Respirology 2021年第1期11卷 1-11页

作者： Joscilin Mathew Sundar V Cherukuri Fatma Dihowm Department of Internal Medicine Texas Tech University Health Sciences Center El PasoEl PasoTX 79905United States

BACKGROUND The incidence of secondary coinfections particularly fungal infections among severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)is not well *** is known of the complications that could be encountered in such *** SUMMARY A 50-year-old Hispanic male who was a prior smoker presented with shortness of *** was diagnosed with *** improved and was discharged with home oxygen.A month later,he presented with sudden onset cough and shortness of *** X-ray showed development of right-sided tension pneumothorax,right pleural effusion and an air-filled cystic *** tomography thorax showed findings suggestive of pulmonary *** antigen was positive,and fluconazole was *** pneumothorax,a pigtail catheter was *** pigtail chest tube was later switched to water seal,unfortunately,the pneumothorax *** attempt to transition chest tube to water seal was *** chest tube was then swapped to 32-Fr chest tube and chemical pleurodesis was *** was later transitioned successfully to water seal and finally *** was discharged on a four-week oral course of fluconazole 400 mg and was to follow up closely as an outpatient for continued *** pneumothorax is associated with a worse prognosis,especially with comorbidities such as diabetes,immunosuppression and *** for concomitant fungal infection in such patients should be high and would necessitate further investigation.

关键词： SARS-CoV-2 COVID-19 Coccidioidomycosis Co-infection Fungal infection tension pneumothorax Refractory pneumothorax Case report Literature review

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