Needle Decompression of Tension Pneumothorax and Cardiopulmonary Resuscitation Tactical Combat Casualty Care Guideline
Defense Health Agency/Defense Health Board Falls Church United States
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The Committee on Tactical Combat Casualty Care CoTCCC, a work group of the Defense Health Board DHB Trauma and Injury Subcommittee, reviewed recent evidence and feedback from theater regarding issues pertaining to tension pneumothorax. Needle decompression ND following traumatic cardiac arrest may be lifesaving if an unsuspected tension pneumothorax is present. Current TCCC Guidelines for Tactical Field Care indicate that battlefield cardiopulmonary resuscitation CPR will not be successful and should not be attempted for either blast or penetrating trauma casualties with no vital signs.
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