High altitude penetrating chest trauma: a case report

Review of this case resulted from the realization of potential pitfalls of field and dispensary care in evaluating and treating penetrating chest trauma (PCT) at high altitude. Literature review of PCT pertaining to this case is followed by a discussion of proper and improper field care, medical evacuation, stabilization, and disposition for service members who sustain PCT. The Mountain Warfare Training Center Tension Pneumothorax Potential Scale is introduced. Recommendations for appropriate primary care of victims of PCT, based on the discussion, are made.