{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T09:32:10Z","timestamp":1768037530296,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Decompensated (aka tension) primary spontaneous pneumothorax (PSP) is extremely rare. There is no published evidence that conservative treatment of stable patients with radiological features of so\u2010called \u2018tension\u2019 (e.g., tracheal deviation and mediastinal shift) results in adverse outcomes. There is also preliminary evidence that these features do not correlate with significant clinical instability. However, anecdotally, clinicians report being uncomfortable not providing interventional treatment for stable PSP patients with radiological features of tension, in part for fear of litigation. This article addresses current evidence and guidelines and the likely medicolegal implications of treatment options for clinically stable PSP patients with these radiological features.<\/jats:p>","DOI":"10.1111\/1742-6723.70058","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:19:09Z","timestamp":1747369149000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Is Radiological Reporting of \u2018Tension\u2019 in Spontaneous Pneumothorax Driving Unnecessary Intervention?"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4655-5023","authenticated-orcid":false,"given":"Anne Maree","family":"Kelly","sequence":"first","affiliation":[{"name":"Joseph Epstein Centre for Emergency Medicine Research, Western Health, Sunshine Australia  Melbourne Australia"},{"name":"Department of Critical Care, Melbourne Medical School The University of Melbourne  Parkville Australia"},{"name":"Australian Centre for Heath Law Research Queensland University of Technology  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Bammer","sequence":"additional","affiliation":[{"name":"Department of Radiology and Radiological Sciences, Monash Health and Professor of Radiology and Radiological Sciences, Faculty of Medicine, Nursing &amp; Health Sciences Monash University  Parkville Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y. 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Gary","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Sir Charles Gairdner Hospital  Perth Western Australia Australia"},{"name":"Centre for Respiratory Health, School of Medicine University of Western Australia  Perth Western Australia Australia"},{"name":"Pleural Medicine Unit Institute for Respiratory Health  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ethan","family":"Bacon","sequence":"additional","affiliation":[{"name":"Consumer  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Egerton\u2010Warburton","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences at Monash Health Monash University  Clayton Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"StatPearls [Internet]","author":"Jalota Sahota R.","year":"2024"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2012.02910.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-023-01181-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.590"},{"key":"e_1_2_8_6_1","volume-title":"Therapeutic Guidelines","author":"Primary spontaneous pneumothorax","year":"2020"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax\u20102022\u2010219784"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00219214"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00797\u20102023"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-018-1588-9"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1910775"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00429-2024"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.70054"},{"key":"e_1_2_8_14_1","unstructured":"Health Complaints Commissioner (Vic) \u201cMedical Negligence \u201dhttps:\/\/www.hcc.vic.gov.au\/sites\/default\/files\/media\u2010document\/hcc_fact_sheet_02_\u2010_medical_negligence_0.pdf."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb02958.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.14407"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T08:08:16Z","timestamp":1750666096000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/1742-6723.70058"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70058","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,15]]},"assertion":[{"value":"2025-04-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70058"}}