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Case Reports
. 2013 Jan-Mar;17(1):92-4.
doi: 10.3109/10903127.2012.710720. Epub 2012 Aug 24.

Occult traumatic loculated tension pneumothorax--a sonographic diagnostic dilemma

Brian J Burns  1 , Gonzalo Aguirrebarrena
Affiliations
Case Reports

Occult traumatic loculated tension pneumothorax--a sonographic diagnostic dilemma

Brian J Burns et al. Prehosp Emerg Care. 2013 Jan-Mar.

Abstract

This case outlines a rarely seen disease in prehospital emergency care-namely, a traumatic loculated tension pneumothorax. Prehospital thoracic ultrasound as part of a standard extended focused assessment with sonography in trauma (EFAST) algorithm failed to diagnose this life-threatening injury. We have subsequently added scanning the lateral chest wall in the fifth intercostal space to the algorithm.

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