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Prehospital management of chest injuries in severely injured patients-a systematic review and clinical practice guideline update.

Eur J Trauma Emerg Surg · 2024 · PMC11458653 · PMID 38308661

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a strong trendno p-value reported
A model-based study showed that, when an anterior location was used, there was a strong trend to performing needle decompression medial to the midclavicular line, which risked injuries to the heart, internal thoracic vessels, or other mediastinal vessels [ 70 ].

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