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What to do in case of spontaneous pneumothorax if no hospital?

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Last year my lung collapsed spontaneously (they stapled my lung to prevent further collapse) and there are several questions I've thought to ask, but now that I'm not in the hospital I don't have a doctor to talk to.
The most pressing question for me is: what can I do if I'm not near a hospital and this happens to me again? I'm going to costa rica for a surf trip in a few weeks and I'm concerned that, were my lung to collapse again while I'm there, I may not be able to get medical treatment right away. Are there any techniques for lessening the pain/preventing further damage while I'm waiting to find a hospital? Assuming that it's another "minor" collapse where I can still breathe (only one lung partially collapsed last time and my blood O2 concentration was at a safe level throughout the ordeal), I'd like to know what I or a friend nearby could do or should NOT do to make sure I can live long enough to reach a doctor. Thanks in advance!
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First Helper User Profile Gaelic
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replied June 2nd, 2011
Especially eHealthy
Chailem,

It depends greatly upon what caused the spontaneous pneumothorax. If you have underlying lung disease, that will have to be treated. If you smoke, stop. However, if you are a young adult, with primary spontaneous pneumothorax, will it happen again? You have a higher chance than the general population, but it is not a sure thing.

As you noted, in many spontaneous pneumothorases, the person does not have respiratory distress. But, that can change in an instance, especially at high altitude (air plane or mountains). If you develop a tension pneumothorax, that can be life threatening.

As to treatment in the field. If you don't have advanced medical training, do not try any invasive therapies. Don't go stabbing around the chest with a needle, you can hit tubular things that will bleed like stink. About the only thing you could do is get down out of altitude, stop any physical activity, try to calm down as much as possible (you've been there before), use oxygen if available, and get to medical care.

You can find some information about spontaneous pneumothorax here, that is much too long to include in this post -->http://en.wikipedia.org/wiki/Pneumothor ax.

You really should speak with a pulmonologist before you go on your trip. If you go, check out where the major hospitals are, close to where you will be surfing.

Have fun in the sun.
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replied June 2nd, 2011
Especially eHealthy
Chailem,

It depends greatly upon what caused the spontaneous pneumothorax. If you have underlying lung disease, that will have to be treated. If you smoke, stop. However, if you are a young adult, with primary spontaneous pneumothorax, will it happen again? You have a higher chance than the general population, but it is not a sure thing.

As you noted, in many spontaneous pneumothorases, the person does not have respiratory distress. But, that can change in an instance, especially at high altitude (air plane or mountains). If you develop a tension pneumothorax, that can be life threatening.

As to treatment in the field. If you don't have advanced medical training, do not try any invasive therapies. Don't go stabbing around the chest with a needle, you can hit tubular things that will bleed like stink. About the only thing you could do is get down out of altitude, stop any physical activity, try to calm down as much as possible (you've been there before), use oxygen if available, and get to medical care.

You really should speak with a pulmonologist before you go on your trip. If you go, check out where the major hospitals are, close to where you will be surfing.

Have fun in the sun.
|
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replied June 2nd, 2011
Thanks for the info! My collapse was caused by a bleb, btw. Again thanks for the response, I'll take it easy on my trip.
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