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Updated: May 19, 2026

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Occult traumatic loculated tension pneumothorax--a sonographic diagnostic dilemma
Brian J Burns1, Gonzalo Aguirrebarrena
1Greater Sydney Area HEMS, Bankstown, Australia. bjburns@ambulance.nsw.gov.au
Abstract:
This case outlines a rarely seen disease in prehospital emergency care-namely, a traumatic loculated tension pneumothorax. Prehospital thoracic ultrasound as part of a standard extended focused assessment with sonography in trauma (EFAST) algorithm failed to diagnose this life-threatening injury. We have subsequently added scanning the lateral chest wall in the fifth intercostal space to the algorithm.
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