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http://dx.doi.org/10.1089/tmj.2018.0138 | DOI Listing |
J Telemed Telecare
September 2025
School of Medicine, The University of Queensland, St Lucia, QLD, Australia.
In this case, we describe the remote telehealth leadership of emergent tube thoracostomy in a patient with a critical respiratory status. The patient had presented to a small rural health care facility with breathlessness and hypoxia despite supplemental oxygen. A subsequent chest x-ray revealed a large pneumothorax requiring emergent treatment to prevent respiratory demise.
View Article and Find Full Text PDFJ Emerg Med
July 2025
Department of Emergency Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, New York.
Background: Thoracic point-of-care ultrasound (POCUS) is an improved modality for detecting pneumothorax (PTX) with high accuracy compared with supine chest x-ray (CXR) study. However, recent research has questioned the sensitivity of POCUS for diagnosis of PTX in trauma patients.
Objective: The authors determined the accuracy of emergency physician (EP) POCUS in identifying clinically significant PTX in high-severity trauma patients based on the red criteria of the 2021 National Expert Panel on Field Triage.
Surgery
September 2025
Division of Pediatric Surgery, Penn State Children's Hospital, Hershey, PA. Electronic address:
Background: Management of primary spontaneous pneumothorax varies widely. We aimed to assess national trends in PSP management in the last decade.
Methods: We conducted a 10-year retrospective analysis of the MarketScan claims database to identify adolescents and young adults (aged 10-24 years) diagnosed with primary spontaneous pneumothorax (2012-2021).
J Emerg Med
August 2025
Department of Emergency Medicine, Rush University Medical Center, Chicago, Illinois.
Background: Pleural cavity decompression with surgical tube thoracostomy or placement of a pleural catheter is an integral component of therapy for air or fluid within the pleural cavity and a core skill in emergency medicine.
Objective: This narrative review provides a focused review of tube thoracostomy and pleural catheter placement in the emergency department.
Discussion: Surgical tube thoracostomy or pleural catheter placement is performed to remove air or fluid from the pleural cavity and can be a life-saving procedure with no absolute contraindications.
Int J Surg Case Rep
August 2025
Department of General Surgery, Division of Pediatric Surgery, State University of New York, Downstate Health Sciences University, United States of America. Electronic address:
Introduction: Pseudo-Meigs' syndrome is described as the triad of a pleural effusion, ascites, and pelvic or abdominal tumor that is not an ovarian fibroma or thecoma. To our knowledge, this is the first reported pediatric case of pseudo-Meigs' syndrome secondary to a Sertoli-Leydig cell tumor (SLCT).
Presentation Of Case: A 12-year-old female with a past medical history of asthma and obesity (body mass index of 37) presented to the emergency department with complaints of abdominal pain, loss of appetite, irregular menses, and shortness of breath for one month.