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What would you
do with
19 seconds?
THE AMBULANCE SIREN
CAN BE HEARD A BLOCK
AWAY… IT HALTS AT A
BUSY INTERSECTION,
WAITING FOR THE CARS
TO CLEAR THE PATH…
SECONDS PASS
QUICKLY…5…6…7…
THE DRIVER TRIES TO
PULL UP TO THE
CRASH SCENE… CARS
ARE BLOCKING
ACCESS TO THE
VEHICLES… 8…9…10…
11 SECONDS DISAPPEAR. THEY
FINALLY GAIN ACCESS TO THE
INJURED DRIVERS. THE DRIVER
OF THE FIRST VEHICLE IS IN
EXTREME PAIN WITH JVD AND
TRACHEAL DEVIATION. AN
ASSESSMENT REVEALS A
TENSION PNEUMOTHORAX
(PTX)…
THE PARAMEDIC REACHES FOR
THE NECESSARY EQUIPMENT TO
PERFORM A DECOMPRESSION OF A
PTX. HE HAS TO OPEN THE
INDIVIDUALLY PACKAGED 14
GAUGE NEEDLE, GET HIS
SCISSORS, FIND A SURGICAL
GLOVE, CUT A FINGER OF THE
GLOVE OFF… 12… 13… 14… 15…
FIND THE TAPE, RIP
THE TAPE, and TAPE
THE GLOVE ONTO
THE HUB … 16…
17… 18… 19…
IS IT TOO LATE…
DID THEY RUN OUT
OF TIME?
THIS PROCEDURE TAKES
ONE TO TWO MINUTES DUE
TO THE RUDIMENTARY
PROCEDURES CURRENTLY
USED TO PERFORM A PTX
DECOMPRESSION.
THE L-PRV SOLUTION
SAVES VALUABLE
TIME…
TIME IS CRITICLE WHEN IT
COMES TO SAVING LIVES IN
THE FIELD
WHAT COULD THE
PARAMEDIC DO WITH
19 SECONDS?
SAVE THE PATIENT’S
LIFE… TREAT THE
PATIENT’S OTHER
INJURIES… MOVE ON TO
HELP OTHER INJURED
PEOPLE AT THE SCENE…
19 SECONDS…
TOO MUCH TIME TO LOSE…
Tension
Pneumothorax

Emergency Treatment
The L-PRV Solution
Created by

Manuel T. Rosado
Civilian Related Pneumothorax
10 - 30% of patients transported
to level 1 trauma centers receive
treatment for a Tension
Pneumothorax

Combat Related
Pneumothorax
 5% of all combat related deaths
are related to a Tension
Pneumothorax
SOURCE: Unpublished data
CDC/NCHS, National Hospital
Ambulatory Medical Care
Survey, 2007-2010.
Year
2007
2008
2009
2010

Number of visits for
pneumothorax
6,935,136
8,292,839
9,116,724
9,176,258

http://www.cdc.gov/nchs/ahcd/ahcd_questionnaires.htm
Combat Related Deaths
31% - Penetrating head trauma
25% - Surgically uncorrectable
torso trauma
7% - Mutilating blast trauma
9% - Exsanguination
5% - Tension pneumothorax
(PTX)
1% - Airway obstruction / injury
Saving a Life
 It is estimated that 90% of
wounded combatants can be
saved
 Application of a tourniquet for
extremity hemorrhage
 Rapid treatment of a PTX
 The establishment of a stable
airway.
Rudimentary Treatment of
PTX
 Procedure for field treatment
Diagnose
Delay Treatment to make
instrument
Treat PTX
Current Field Procedure
Finger cut from glove

Tied with suture
Or taped to hub
The L-PRV Applications
(World Wide)
Training and the saving of a life,
where every second counts . . .
 Military: Training, Peacetime,
and Wartime
 Medical Training Facilities
 EMS (Adult or Child)
Introducing
The L-PRV

A New Way To Get
The Job Done!
The Injury
The Tension Pneumothorax

Plaural space
filled with
pressurized
air

Compressed
lungs

Compressed
vessels

Wound

Compressed
heart

Diaphragm
The Diagnosis
The Solution

Pressurized air in
plaural space
Diaphragm

Compressed lung
The L-PRV

3rd & 2nd
Rib
The L-PRV

3rd & 2nd
Rib
Compressed
lung re-inflating
Compressed l
One Spark, The L-PRV Presentation

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