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Incidence of Tension Pneumothorax in Police Officers Feloniously Killed in the Line of Duty: A Ten-Year Retrospective Analysis

Published online by Cambridge University Press:  19 March 2012

Ashley C. Mark ,
Nicole Wimberger  and
Matthew D. Sztajnkrycer
Ashley C. Mark
Affiliation:
Department of Emergency Medicine, Mayo Clinic Rochester, Minnesota USA
Nicole Wimberger
Affiliation:
Office of the Chief Medical Examiner, New York City, New York USA
Matthew D. Sztajnkrycer*
Affiliation:
Department of Emergency Medicine, Mayo Clinic Rochester, Minnesota USA
*
Correspondence: Matthew D. Sztajnkrycer, MD, PhD Department of Emergency Medicine, Mayo Clinic GE-GR-G410, 200 1st Street SW, Rochester, Minnesota 55905 USA, E-mail: [email protected]
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Abstract

Background: According to US military data, tension pneumothorax (TPx) is the second leading cause of possibly preventable combat death after isolated extremity hemorrhage. The purpose of this study was to determine whether TPx similarly represents a significant cause of possibly preventable death in police officers.

Methods: FBI data for the years 1998 through 2007 were reviewed. Cases were included if officers were on-duty at the time of fatal injury, and died within one hour from time of wounding from penetrating torso trauma. After case identification, letters were sent to the departments of victim officers requesting autopsy reports.

Results: One hundred and eight victim officers met inclusion criteria. Four charts were excluded due to inability to re-identify officers. Departmental response rate was 83.7%. Autopsy reports were provided for 60 officers (57.7%). All officers died from gunshot wounds. No coroner specifically identified TPx as either a direct cause of death or a contributing factor (95% CI, 0.00%-5.96%).

Conclusion: In contrast to the military experience, TPx appears to be a rare cause of possibly preventable death in police officers. Further study of non-fatal “near miss” events will be required to determine the actual need for law enforcement-specific medical training in the recognition and management of TPx.

Keywords

chest injuryEmergency Medical Servicespenetrating woundpneumothoraxprehospitaltraumatruncal
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 1 , February 2012 , pp. 94 - 97
Copyright
Copyright Mark © World Association for Disaster and Emergency Medicine 2012

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References

1.Leigh-Smith, S, Harris, T: Tension pneumothorax – Time for a re-think? Emerg Med J 2005;22:8–16.CrossRefGoogle ScholarPubMed
2.Bellamy, RF: The causes of death in conventional land warfare: Implications for combat casualty care research. Mil Med 1984;149:55–62.CrossRefGoogle ScholarPubMed
3.Butler, FK Jr, Hagman, J, Butler, EG: Tactical combat casualty care in special operations. Mil Med 1996;161 (Suppl1):3–16.CrossRefGoogle ScholarPubMed
4.Committee on Tactical Combat Casualty Care: Military Medicine. In: McSwain, NE, Frame, S, Salomone, JP (eds), Prehospital Trauma Life Support, Military Edition, Revised 5th Ed, St Louis: Mosby, 2005, pp 374–408.Google Scholar
5.Sztajnkrycer, MD: Tactical medical skill requirements for law enforcement officers: A 10-year analysis of line-of-duty deaths. Prehosp Disaster Med 2010;25:342–346.CrossRefGoogle ScholarPubMed
6.McPherson, JJ, Feigin, DS, Bellamy, RF: Prevalence of tension pneumothorax in fatally wounded combat casualties. J Trauma 2006;60:573–578.CrossRefGoogle ScholarPubMed
7.Butler, FK Jr, Holcomb, JB, Giebner, SD, McSwain, NE, Baglan, J: Tactical combat casualty care 2007: Evolving concepts and battlefield experience. Mil Med 2007;172:S11:1–19.CrossRefGoogle ScholarPubMed
8.Cordts, PR, Brosch, LA, Holcomb, JB: Now and then: Combat casualty care policies for Operation Iraqi Freedom and Operation Enduring Freedom compared with those of Vietnam. J Trauma 2008;64:S14–S20.Google ScholarPubMed
9.Tien, HC, Jung, V, Rizoli, SB, Acharrya, SV, McDonald, JC: An evaluation of tactical combat casualty care interventions in a combat environment. J Am Coll Surg 2008;207:174–178.CrossRefGoogle Scholar