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Old 10-21-2004, 18:18   #1
ender18d
Quiet Professional
 
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Join Date: May 2004
Location: Pineland
Posts: 168
Cook Pneumothorax Kit

I've been asking all of the experienced field medics about this device, and so far most people haven't used it or seen it used.... Does anyone carry this in their aid-bag?

I got the chance to administer a Cook Catheter in Tampa, and had a great long talk about this device with a Doc at Ireland Army Hospital at FT Knox during my SOC-T...

The kit is light, self contained, and small... a negligable space or weight concern. Basically a nice big flexible cath with (if I remember correctly) some additional fenstrations. Inserts 2nd ICS MCL just like a standard decompression, but has built-in Heimlich and can be connected to standard pleurevac. In Tampa we used this device for definitive care on a roughly 30% spontaneous left-side pneumo, and X-rays demstrated full efficacy of treatment. The docs at both hospitals said that it is very common that this device can eliminate the need for a more invasive and painful chest-tube. This seems ideal to me for field use as an alternative to many chest-tubes, particularly for the borderline cases, such as a GSW to chest that must go on a bird, but may not display S/S of pneumo. I'd sure hate to stick a field-finger in that guy's pleural space, but this needle might be a good compromise.

Anyone have any experience or thoughts on this type of device?

http://www.armstrongmedical.com/ami/...=71&itemid=721
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