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Giebner. The authors also thank the Department of Defense 16. Chang S, Ross S, Kiefer D, et al. Evaluation of 8.0-cm needle at
Trauma Registry for providing the casualty data discussed in the fourth anterior axillary line for needle chest decompression
this report. of tension pneumothorax. J Trauma Acute Care Surg. 2014;76:
1029–1034.
17. Lamblin A, Turc J, Bylicki O, et al. Measure of chest wall thick-
Disclaimers ness in French soldiers: which technique to use for needle de-
The opinions or assertions contained herein are the private compression of tension pneumothorax at the front? Mil Med.
views of the authors and are not to be construed as official or 2014;179:783–786.
as reflecting the views of the Department of the Army or the 18. Harcke HT, Mabry RL, Mazuchowski EL. Needle thoracentesis
Department of Defense. This recommendation is intended to decompression: observations from post-mortem computer to-
be a guideline only and is not a substitute for clinical judgment. mography and autopsy. J Spec Oper Med. 2013;13:53–58.
19. Riwoe D, Poncia H. Subclavian artery laceration: a serious com-
plication of needle decompression. Emerg Med Australas. 2011;
Disclosures 23(5):651–653.
The authors have no disclosures. 20. Inaba K, Branco BC, Eckstein M, et al. Optimal positioning for
emergent needle thoracostomy: a cadaver-based study. J Trauma.
Release 2011;71:1099–1103.
This document was reviewed by the Director of the Joint 21. Netto F, Shulman H, Rizoli S, et al. Are needle decompressions
Trauma System and by the Public Affairs Office and the Op- for tension pneumothoraces being performed appropriately for
erational Security Office at the US Army Institute of Surgical appropriate indications? Am J Emerg Med. 2008;26(5):597–
Research. It is approved for unlimited public release. 602.
22. Heng K, Bystrzycki A, Fitzgerald M, et al. Complications of inter-
costal catheter insertion using EMST techniques for chest trauma.
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