« thoracostomy »

22 passage(s) dans 7 référentiel(s).

• JTS — Damage Control Resuscitation in Prolonged Field CareJTS
  • p. 13abdominal injuries that are hypotensive or nonresponsive after:  two units blood transfusion  bilateral chest decompression (needle decompression/finger thoracostomy/tube thoracostomy) and  assessment for pericardial tamponade  Junctional amputations with pelvic disruption  Out-of-hospital cardiac arrest (despite bilateral chest decompression ... resuscitation for longer than 5 minutes  No cardiac motion observed on FAST examination or palpated with left finger thoracostomy  Cardiac monitoring reveals: - Asystole - No organized rhythm - Wide complex/idioventricular rhythm  Cervical spine trauma with cardiovascular collapse  Obvious massive trauma
  • p. 10reassess hemostatic procedures, assess for missed sources of bleeding, and decompress both sides of the chest (needle decompression/finger thoracostomy/tube thoracostomy). Assess for pericardial tamponade by ultrasound or as a last resort, blind
• TCCC Guidelines — 1er mai 2026CoTCCC / Joint Trauma System
  • p. 7breath sounds, and hemoglobin oxygen saturation < 90% support this diagnosis. Treat as indicated with repeated NDC or finger thoracostomy/chest tube insertion at the 5th ICS in the AAL, according to the skills, experience, and authorizations of the treating ... medical provider. Note that if finger thoracostomy is used, it may not remain patent and finger decompression through the incision may have to be repeated. Consider decompressing the opposite side of the chest if indicated based
• JTS — U.S. Army Aeromedical Evacuation Standard Medical Operating GuidelinesJTS
  • p. 25seal (vented) o Impalement  Stabilize  High index of concern for hemo-pneumothorax o Signs of hemo-pneumothorax  Needle thoracostomy o Goal: SPO2 ≥ 90%; improved RR; equal rise / fall • Blunt chest trauma o Flail chest  Administer pain control  Consider ... endotracheal intubation, positive pressure ventilation o Signs of hemo-pneumothorax  Needle thoracostomy o Goal: SPO2 ≥ 90%; improved RR; equal rise / fall Notes, Cautions, Warnings • Needle thoracostomy may need to be repeated • Failure to improve after needle thoracostomy
  • p. 31expense of life saving care to other casualties • Place advanced airway o Start supplemental O2 • Bilateral needle thoracostomy • Consider advanced procedures o Finger thoracostomy o Tube thoracostomy o Pericardiocentesis • Place monitor on patient; prepare defibrillator o Determine rhythm
  • p. 194TABLE OF CONTENTS 194 NEEDLE THORACOSTOMY CLINICAL INDICATIONS: Suspect a tension pneumothorax and treat when a casualty has significant torso trauma or primary blast injury and one or more of the following: • Severe or progressive respiratory distress ... PROCEDURE: * * Note: This intervention is a BRIEF stopgap utilized in order to buy time for a definitive tube thoracostomy. It is not a solution unto itself.** • Decompress the chest on the side of the injury with
  • p. 8NASOPHARYNGEAL AIRWAY 190 PROCEDURES BLIND INSERTION AIRWAY DEVICE (BIAD) 191 PERFORM CRICOTHYROIDOTOMY 192 NEEDLE CRICOTHYROIDOTOMY 193 NEEDLE THORACOSTOMY 194 PERFORM SIMPLE FINGER THORACOSTOMY 195 VASCULAR ACCESS (INTRAVENOUS) 196 VASCULAR ACCESS (INTRAOSSEOUS) 197 VASCULAR ACCESS VIA EXTERNAL JUGULAR VEIN

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• FPHC — Arrêt cardiaque traumatique (position 2024)Faculty of Pre-Hospital Care (RCSEd)
  • p. 5unacceptable failure and complication rates. When using a 5-cm catheter (e.g. 14G cannula) for anterior nee- dle thoracostomy, based on computed tomography, the expected failure rate is 42.5% [28]. Complications include obstruction, kinking and displacement. Commercial large ... Thoracostomies can be performed quickly and with a low complication rate [29, 30]. In critically ill ventilated patients thoracostomy has largely replaced the insertion of pre-hospital chest tubes. Tube insertion may delay arrival to definitive care
  • p. 8tension pneumothorax. Arch Surg. 2012;147(9):813–8. 29. Pritchard J, Hogg K. BET1: pre-hospital finger thoracostomy in patients with traumatic cardiac arrest. Emerg Med J. 2017;34(5):417–8. 30. Dickson R, Gleisberg ... Aiken M, Crocker K, Patrick C, Nichols T, Mason C, Fioretti J. Emergency medical services simple thoracostomy for traumatic cardiac arrest: postimplementation experience in a ground- based suburban/rural emergency medical services agency. J Emerg
  • p. 2patients with tension pneumothorax, cardiac tamponade and severe hypo- volaemia. In TCA, tension pneumothorax must be treated with thoracostomy before or immediately after intubation. Recommendation: Positive pressure ventilation can precipitate TCA in patients with hypovolaemia, car- diac tamponade
• JTS — Joint En Route Care GuidelinesJTS
  • p. 14Magnesium Sulfate IV/IO, Solumedrol IV/IO Epinephrine IM Magnesium Sulfate IV/IO Solumedrol IV/IO HAND-OFF • Verify position/patency of tube thoracostomy with receiving team (consider using tape for visual reference of position). If indicated, perform finger thoracostomy and/or chest tube
  • p. 41transport. Sutures are preferred, but commercial securing device, or other methods such as chest seal may be acceptable). Thoracostomy tube (Chest tube): All fenestrations (drainage holes) should be within the chest cavity. Tube should be secured with sutures
  • p. 16with torso trauma or polytrauma who have no pulse or respirations during ERC should have bilateral needle decompressions/finger thoracostomy performed to ensure they do not have a tension pneumothorax. *See CPR above. • Convert tourniquets IAW TCCC guidelines: Limb
  • p. 15Equipment • See Appendix C for Troubleshooting DOPE Algorithm HAND-OFF • Communicate mechanical ventilation settings • Communicate placement/presence of tube thoracostomy and other interventions

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• JTS — Vascular InjuryJTS
  • p. 27penetrating trauma is directed by chest tube location and output (i.e. the hemithorax which is bleeding from tube thoracostomy is the one which is opened). The descending thoracic aorta is approached through the left chest and when injured
• JTS — Emergent Resuscitative ThoracotomyJTS
  • p. 12thoracotomy (from the sternum to the table) at approximately the fourth intercostal space. If previously performed, a tube thoracostomy incision can serve as a starting point for the thoracotomy. Exposure can be significantly improved by placing a towel