Login
Site Search
Trauma-List Subscription

Subscribe

Would you like to receive list emails batched into one daily digest?
No Yes

 

Modify Your Subscription

Modify

 

Home > List Archives

List Archives

For your convenience, find the Trauma List Archive Below

AW: Tension Pneumothorax and SHARKS

alaa zidan trauma-list@trauma.org
Fri, 20 Dec 2002 09:23:11 +0300 (Arab Standard Time) 

--------------Boundary-00=_N2NEQL80000000000000
Content-Type: Multipart/Alternative;
  boundary="------------Boundary-00=_N2NELVC0000000000000"


--------------Boundary-00=_N2NELVC0000000000000
Content-Type: Text/Plain;
  charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

I do totally agree with Avi , this sitution requires the transfer of such=
 a
critical patient with a chest tube , otherwise he will die=0D
=0D
 =0D
Dr.Alaa Zidan Orthopaedic surgeon&Team leader Accident Dept, Salmanyia
medical complex. P.O. Box 12 Manama.Kingdom of Bahrain.=0D
-------Original Message-------=0D
 =0D
From: trauma-list@trauma.org=0D
Date: Friday, December 20, 2002 02:39:27 AM=0D
To: trauma-list@trauma.org=0D
Subject: Re: AW: Tension Pneumothorax and SHARKS=0D
 =0D
> =0D
> Dr. Frykberg has made a very important observation. He raised the=0D
> question of how does one really make a diagnosis of tension pneumothora=
x=0D
> in the field? =0D
=0D
I do not claim to be a flowless diagnostician, but if a trauma victim has=
=0D
tachicardia, distended neck veins, deviated trachea, and reduced airflow=0D
into the opposite lung, what else could he/she have? =0D
=0D
Is it really flipping a coin? =0D
=0D
I agree that people overdiagnose tension pneumothorax, and I also agree=0D
that pericardiocentsis has no role in trauma. I also believe that except=0D
in very remote areas, helicopter transport takes longer and is less=0D
effective than transportaion by ambulance. =0D
=0D
However, I don't think I would want someone with these signs transported=0D
without chest decompression. =0D
=0D
Avi =0D
=0D
=0D
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=0D
Aviel Roy-Shapira, M.D. Soroka University Hospital &=0D
Dept. of Surgery A. and Ben-Gurion University Medical School =0D
the Critical Care Unit POB 151, Beer Sheva, Israel=0D
=0D
email:avir@bgumail.bgu.ac.il Fax:972-7-6403260 voice:972-7-6403390=0D
=0D
=0D
=0D
=0D
--=0D
trauma-list : TRAUMA.ORG=0D
To change your settings or unsubscribe visit:=0D
http://www.trauma.org/traumalist.html=0D
=2E=20
--------------Boundary-00=_N2NELVC0000000000000
Content-Type: Text/HTML;
  charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; charset=3Diso-8859-=
1">
<META content=3D"IncrediMail 1.0" name=3DGENERATOR>
<!--IncrdiXMLRemarkStart>
<IncrdiX-Info>
<X-FID>FLAVOR00-NONE-0000-0000-000000000000</X-FID>
<X-FVER></X-FVER>
<X-CNT>;</X-CNT>
</IncrdiX-Info>
<IncrdiXMLRemarkEnd-->
</HEAD>
<BODY style=3D"BACKGROUND-POSITION: 0px 0px; FONT-SIZE: 12pt; MARGIN: 5px=
 10px 10px; FONT-FAMILY: Arial" bgColor=3D#ffffff background=3D"" scroll=3D=
yes ORGYPOS=3D"0" X-FVER=3D"3.0">
<TABLE id=3DINCREDIMAINTABLE cellSpacing=3D0 cellPadding=3D2 width=3D"100=
%" border=3D0>
<TBODY>
<TR>
<TD id=3DINCREDITEXTREGION style=3D"FONT-SIZE: 12pt; CURSOR: auto; FONT-F=
AMILY: Arial" width=3D"100%">
<DIV>I do totally agree with Avi , this sitution requires the transfer of=
 such a critical patient with a chest tube , otherwise he will die</DIV>
<DIV><BR>&nbsp;</DIV>
<P><STRONG>Dr.Alaa Zidan</STRONG> Orthopaedic surgeon&amp;Team leader Acc=
ident Dept, Salmanyia medical complex. P.O. Box 12 Manama.Kingdom of Bahr=
ain.</P>
<DIV id=3DIncrediOriginalMessage><I>-------Original Message-------</I></D=
IV>
<DIV>&nbsp;</DIV>
<DIV id=3Dreceivestrings>
<DIV dir=3Dltr style=3D"FONT-SIZE: 11pt" <i><B>From:</B></I> <A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002-December/3D"m=
ailto:trauma-list@trauma.org">trauma-list@trauma.org</A></DIV>
<DIV dir=3Dltr style=3D"FONT-SIZE: 11pt" <i><B>Date:</B></I> Friday, Dece=
mber 20, 2002 02:39:27 AM</DIV>
<DIV dir=3Dltr style=3D"FONT-SIZE: 11pt" <i><B>To:</B></I> <A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002-December/3D"mai=
lto:trauma-list@trauma.org">trauma-list@trauma.org</A></DIV>
<DIV dir=3Dltr style=3D"FONT-SIZE: 11pt" <i><B>Subject:</B></I> Re: AW: T=
ension Pneumothorax and SHARKS</DIV></DIV>
<DIV>&nbsp;</DIV>&gt; <BR>&gt; Dr. Frykberg has made a very important obs=
ervation. He raised the<BR>&gt; question of how does one really make a di=
agnosis of tension pneumothorax<BR>&gt; in the field? <BR><BR>I do not cl=
aim to be a flowless diagnostician, but if a trauma victim has<BR>tachica=
rdia, distended neck veins, deviated trachea, and reduced airflow<BR>into=
 the opposite lung, what else could he/she have? <BR><BR>Is it really fli=
pping a coin? <BR><BR>I agree that people overdiagnose tension pneumothor=
ax, and I also agree<BR>that pericardiocentsis has no role in trauma. I a=
lso believe that except<BR>in very remote areas, helicopter transport tak=
es longer and is less<BR>effective than transportaion by ambulance. <BR><=
BR>However, I don't think I would want someone with these signs transport=
ed<BR>without chest decompression. <BR><BR>Avi <BR><BR><BR>=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D<BR>Aviel Roy-Sh=
apira, M.D. Soroka University Hospital &amp;<BR>Dept. of Surgery A. and B=
en-Gurion University Medical School <BR>the Critical Care Unit POB 151, B=
eer Sheva, Israel<BR><BR><A href=3D"mailto:email:avir@bgumail.bgu.ac.il">=
email:avir@bgumail.bgu.ac.il</A> Fax:972-7-6403260 voice:972-7-6403390<BR=
><BR><BR><BR><BR>--<BR>trauma-list : TRAUMA.ORG<BR>To change your setting=
s or unsubscribe visit:<BR><A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002-December/3D"http://www.trauma.org/traumalist.ht=
ml">http://www.trauma.org/traumalist.html</A><BR>. </TD></TR>
<TR>
<TD id=3DINCREDIFOOTER width=3D"100%">
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%">
<TBODY>
<TR>
<TD width=3D"100%"></TD>
<TD id=3DINCREDISOUND vAlign=3Dbottom align=3Dmiddle></TD>
<TD id=3DINCREDIANIM vAlign=3Dbottom align=3Dmiddle></TD></TR></TBODY></T=
ABLE></TD></TR></TBODY></TABLE><SPAN id=3DIncrediStamp><SPAN dir=3Dltr><F=
ONT face=3D"Arial, Helvetica, sans-serif" size=3D2>______________________=
______________________________<BR><FONT face=3D"Comic Sans MS" size=3D2><=
A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002-December/3D"http://www.incredimail.com/redir.asp?ad_id=3D309&amp;lang=3D9">=
<IMG alt=3D"" hspace=3D0 src=3D"cid:C3F84B40-13FA-11D7-BB0B-D38F520FCD71"=
 align=3Dbaseline border=3D0></A>&nbsp; <I>IncrediMail</I> - <B>Email has=
 finally evolved</B> - </FONT><A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002-December/3D"http://www.incredimail.com/redir=
=2Easp?ad_id=3D309&amp;lang=3D9"><FONT face=3D"Times New Roman" size=3D3>=
<B><U>Click Here</U></B></FONT></A></SPAN></SPAN></FONT></BODY></HTML>
--------------Boundary-00=_N2NELVC0000000000000--

--------------Boundary-00=_N2NEQL80000000000000
Content-Type: unknown/unknown;
  name="IMSTP.gif"
Content-Transfer-Encoding: base64
Content-ID: <C3F84B40-13FA-11D7-BB0B-D38F520FCD71>
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--------------Boundary-00=_N2NEQL80000000000000--