Anne Maree Kelly, Roland Bammer, Y. C. Gary Lee, Julian A. Smith, Ethan Bacon, Diana Egerton-Warburton
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引用次数: 0
Abstract
Decompensated (aka tension) primary spontaneous pneumothorax (PSP) is extremely rare. There is no published evidence that conservative treatment of stable patients with radiological features of so-called ‘tension’ (e.g., tracheal deviation and mediastinal shift) results in adverse outcomes. There is also preliminary evidence that these features do not correlate with significant clinical instability. However, anecdotally, clinicians report being uncomfortable not providing interventional treatment for stable PSP patients with radiological features of tension, in part for fear of litigation. This article addresses current evidence and guidelines and the likely medicolegal implications of treatment options for clinically stable PSP patients with these radiological features.
期刊介绍:
Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine.
Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.