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Transportation to the emergency room
7%
97/1456
Defibrillation
0%
3/1456
IV fluid administration
7/1456
Placement of a large bore angiocath in the second intercostal space
88%
1288/1456
Placement of a chest tube in the second intercostal space
3%
39/1456
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A tension pneumothorax is a life-threatening emergency. The air trapped between the pleura and the lung prevents lung expansion and must be vented immediately to prevent hypoxia and cardiovascular collapse. A large bore needle should be placed on the field to help stabilize the patient, who may then be transferred by ambulance to the hospital for formal chest tube insertion. The referenced study by Amaral et al reviews the diagnosis and treatments of several thoracoabdominal athletic injuries including tension pneumothorax. The referenced study by Perron et al is a review article from an emergency medicine perspective on chest pain in the athletic population, with a thorough review of the possible etiologies, their usual diagnostic algorithms, available imaging modalities, and potential therapeutic options.
3.5
(13)
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