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a life-threatening TP in 99% of cases without harming 19. Butler KL, Best IM, Weaver WL, et al. Pulmonary artery injury
any significant vital structures. and cardiac tamponade after needle decompression of a sus-
pected tension pneumothorax. J Trauma. 2003;54:610–611.

Disclosure
The authors declare no conflicts of interest.
Capt Blenkinsop is General Duties Medical Officer with 2
Medical Regiment, Haig Bks, Hohne, British Forces Germany.
References E-mail: georgieduke@doctors.org.uk.
1. Holcomb JB, McMullen NR, Pearse LA, et al. Causes of death in
Special Operations Forces in the Global War on Terror. Ann Flt Lt Mossadegh is a surgical trainee in the Academic De-
Surg. 2007;245:986–991. partment of Military Surgery and Trauma, Birmingham, Eng-
2. Kelly JF, Ritenour AE, McLaughlin DF, et al. Injury severity land, UK.
and causes of death from Operation Iraqi Freedom and Oper-
ation Enduring Freedom: 2003–2004 versus 2006. J Trauma. Lt Col Ballard is a Consultant Radiologist with the Centre
2008;64(2 Suppl):S21–26; discussion S26–27. for Defence Radiology, Royal Centre for Defence Medicine,
3. McPherson JJ, Feigin DS, Bellamy RF. Prevalence of ten- Birmingham, England, UK.
sion pneumothorax in fatally wounded combat casualties. J
Trauma. 2006;60:573–578.
4. UK Ministry of Defence. Clinical guidelines for operations. Col Parker is a Consultant Orthopaedic Surgeon and Senior
Joint Service Publication 999. London, UK: Ministry of De- Lecturer in Trauma Physiology with the Academic Depart-
fence. Updated 10 October 2013. ment of Military Surgery and Trauma and the Royal Centre
5. American College of Surgeons. Advanced trauma life support. for Defence Medicine, Birmingham, England, UK.
8th ed. Chicago, IL: American College of Surgeons; 2008.
6. Lee C, Revell M, Porter K, et al. The prehospital management of
chest injuries: a consensus statement. Faculty of Pre- hospital
Care, Royal College of Surgeons of Edinburgh. Emerg Med J.
2007;24:220–224.
7. Harcke HT, Pearse LA, Levy AD, et al. Chest wall thickness
in military personnel: implications for needle thoracentesis in
tension pneumothorax. Mil Med. 2007;172:1260–1263.
8. Britten S, Palmer SH, Snow TM. Needle thoracocentesis in
tension pneumothorax: insufficient cannula length and poten-
tial failure. Injury. 1996;27:321–322.
9. Ball CG, Wyrzykowski AD, Kirkpatrick AW, et al. Thoracic
needle decompression for tension pneumothorax: clinical cor-
relation with catheter length. Can J Surg. 2010;53:184–188.
10. Zengerink I, Brink PR, Laupland KB, et al. Needle thoracos-
tomy in the treatment of a tension pneumothorax in trauma
patients: what size needle? J Trauma. 2008;64:111–114.
11. Graham RNJ. Pictorial review: battlefield radiology. Br J Ra-
diol. 2012;85:1556–1565.
12. Hatch Q, Debarros M, Johnson E, et al. Standard laparoscopic
trocars for the treatment of tension pneumothorax: a superior
alternative to needle decompression. J Trauma Acute Care
Surg. 2014;77:170–175.
13. Chang SJ, Ross SW, Kiefer DJ, et al. Evaluation of 8.0-cm
needle at the fourth anterior axillary line for needle chest de-
compression of tension pneumothorax. J Trauma Acute Care
Surg. 2014;76:1029–1034.
14. Ogden CL, Margaret D, Carroll MD, et al. Prevalence of child-
hood and adult obesity in the United States, 2011–2012.
JAMA. 2014;311:806–814.
15. Public Health England. National Obesity Observatory data
factsheet: adult weight. Updated February 2013). http://www
.noo.org.uk/uploads/doc/vid_17925_AdultWeightFactsheet
Feb2013.pdf. Accessed 20 July 2014.
16. Stevens RL, Rochester AA, Busko J, et al. Needle thoracostomy
for tension pneumothorax: failure predicted by chest com-
puted tomography. Prehosp Emerg Care. 2009;13:14–17.
17. Givens ML, Ayotte K, Manifold C. Needle thoracostomy:
implications of computed tomography chest wall thickness.
Acad Emerg Med. 2004;11:211–213.
18. Cullinane DC, Morris JA Jr, Bass JG, et al. Needle thoracos-
tomy may not be indicated in the trauma patient. Injury.
2001;32:749–752.

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