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.

TIME IS CRITICLE WHEN IT COMES TO SAVING LIVES IN THE FIELD

THE L-PRV SOLUTION SAVES VALUABLE TIME…

SAVE THE PATIENT’S LIFE… TREAT THE PATIENT’S OTHER INJURIES… MOVE ON TO HELP OTHER INJURED PEOPLE AT THE SCENE…

WHAT COULD THE PARAMEDIC DO WITH 19 SECONDS?

19 SECONDS… TOO MUCH TIME TO LOSE…

Tension Pneumothorax

Emergency Treatment

Tension Pneumothorax

Emergency Treatment

The L-PRV SolutionCreated by

Manuel T. Rosado

Combat Related PneumothoraxCombat Related Pneumothorax 5% of all combat related

deaths are related to a Tension Pneumothorax

Civilian Related Pneumothorax10 - 30% of patients transported to level 1 trauma centers receive treatment for a Tension Pneumothorax

SOURCE: Unpublished data CDC/NCHS, National Hospital

Ambulatory Medical Care Survey, 2007-2010.

SOURCE: Unpublished data CDC/NCHS, National Hospital

Ambulatory Medical Care Survey, 2007-2010.

Year Number of visits for pneumothorax

2007 6,935,136

2008 8,292,839

2009 9,116,724

2010 9,176,258

http://www.cdc.gov/nchs/ahcd/ahcd_questionnaires.htm

Combat Related DeathsCombat Related Deaths

31% - Penetrating head trauma25% - Surgically uncorrectable

torso trauma 7% - Mutilating blast trauma 9% - Exsanguination 5% - Tension pneumothorax (PTX) 1% - Airway obstruction / injury

Saving a LifeSaving a Life

It is estimated that 90% of wounded combatants can be saved

Application of a tourniquet for extremity hemorrhage

Rapid treatment of a PTXThe establishment of a stable

airway.

Rudimentary Treatment of PTXRudimentary Treatment of PTXProcedure 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 . . .

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)

A New Way To Get The Job Done!

Introducing

The L-PRV

The Injury

Plaural space filled with pressurized air

Compressed heart

Diaphragm

Wound

Compressed vessels

Compressed lungs

The Tension Pneumothorax

The Diagnosis

Pressurized air in plaural space

Compressed lung

Diaphragm

The Solution

3rd & 2nd Rib

The L-PRV

3rd & 2nd Rib

The L-PRV

Compressed lung re-inflating

Compressed l