BACKGROUND To analyze casualties from the Camp Eagle Study, focusing on life-saving interventions (LSI) and potentially survivable deaths. METHODS Retrospective cohort of battle casualties from a forward base engaged in urban combat in Central Iraq. Medical support included emergency medicine practitioners and combat medics with advanced training and protocols. LSI were defined as advanced ai...

conclusions most cases for pneumothorax were consisted of the patients with the primary spontaneous pneumothorax; the patients with recurrent pneumothorax were comprised of secondary spontaneous pneumothorax patients and those of majority secondary spontaneous pneumothorax patients were observed with bullous emphysema profile. by looking at the pertinent literature, there are publications showi...

At least 40% of all patients with pneumonia will have an associated pleural effusion, although a minority will require an intervention for a complicated parapneumonic effusion or empyema. All patients require medical management with antibiotics. Empyema and large or loculated effusions need to be formally drained, as well as parapneumonic effusions with a pH <7.20, glucose <3.4 mmol/l (60 mg/dl...

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Massive pulmonary cavity is a rare and serious complication of chronic reactivation tuberculosis. A 38-year-old gentleman had a history of tuberculosis treatment noncompliance 2 years ago. His presenting symptoms were cough, fever, and left-sided pleuritic chest discomfort for 2 months. Chest radiographs showed extensive lung destruction associated with large thick-walled cavities and severe fi...

Spontaneous pneumothorax during pregnancy is a rare but serious condition. The typical symptoms of spontaneous include pleuritic chest pain and shortness breath. Diagnosis usually made on X-ray with abdominal shielding. Management differs according to severity no specific guidelines are described for management in pregnancy. We report case 27-year-old multigravida, insignificant past medical hi...

OBJECTIVE Tube thoracostomy (TT) is a commonly performed intensive care procedure. Simulator training may be a good alternative method for TT training, compared with conventional methods such as apprenticeship and animal skills laboratory. However, there is insufficient evidence supporting use of a simulator. The aim of this study is to determine whether training with medical simulator is assoc...

1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...

The use of a thoracostomy chest tube for drainage hydropneumothorax is preferred from an anaesthetic point view as positive pressure can be applied. Pigtail catheters are widely used it less invasive, traumatic, and easier to perform allows more ambulation. When compared the tube, pig tail better tolerated. Here we present case 43 year old man with multiple splenic abscesses in sepsis left side...