ArticleTransfusion2025
Effectiveness of prehospital chest decompression in resolving clinical signs of tension pneumothorax.
Article in Transfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Modified Johannesburg technique sets the standard - superior biomechanical stability in chest tube fixation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Effectiveness of prehospital chest decompression in resolving clinical signs of tension pneumothorax.Transfusion · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic injuries are a leading cause of morbidity and mortality in military trauma. Tension pneumothorax (TPX) is a critical diagnosis that can lead to rapid hemodynamic and respiratory collapse if untreated. While timely intervention is essential, prehospital TPX diagnosis is challenging and may lead to unnecessary interventions. This study aimed to assess military prehospital chest injury management, including indications for chest decompression and clinical improvement post-intervention. STUDY DESIGN AND
methodsRetrospective analysis of the Israel Defense Forces (IDF) Trauma Registry from January 2010 to August 2023 identifying patients who underwent needle or chest tube decompression. Data included demographics, injury mechanisms, vital signs, additional interventions, and prehospital mortality. Chart review evaluated decompression indications and outcomes, with the primary outcome being resolution of decreased oxygen saturation, tachycardia, or hypotension post-decompression.
resultsOverall, 224 patients were included, with a median age of 22 years. The most common injury mechanisms were gunshots (36.6%) and motor vehicle accidents (34.4%). Needle chest decompression was performed in 58.5% of cases, chest tubes in 12.5%, and both in 29.0%. Indications included traumatic cardiac arrest (53.1%), profound shock (17.9%), and SpO DISCUSSION: Chest decompression may be overutilized in prehospital military trauma. Future studies should refine criteria to optimize benefits while minimizing iatrogenic risks.
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