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AW: Tension Pneumothorax and SHARKSAvi Roy Shapira email@example.com
Fri, 20 Dec 2002 12:24:59 +0200 (IST)
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On Fri, 20 Dec 2002, Aharon Gabriel M.D. wrote: > Dear Avi ! > That's why TP is over diagnosed!!!! > If experts like yourself think that in TP there is REDUCED airflow to the What you actually hear is diminshed airflow. Some sound is transmitted from the opposite lung. In babies, it may even sound normal Avi > ----- Original Message ----- > From: "Avi Roy Shapira" <firstname.lastname@example.org> > To: <email@example.com> > Sent: Friday, December 20, 2002 1:29 AM > Subject: Re: AW: Tension Pneumothorax and SHARKS > > > > > > > > > > Dr. Frykberg has made a very important observation. He raised the > > > question of how does one really make a diagnosis of tension pneumothorax > > > in the field? > > > > I do not claim to be a flowless diagnostician, but if a trauma victim has > > tachicardia, distended neck veins, deviated trachea, and reduced airflow > > into the opposite lung, what else could he/she have? > > > > Is it really flipping a coin? > > > > I agree that people overdiagnose tension pneumothorax, and I also agree > > that pericardiocentsis has no role in trauma. I also believe that except > > in very remote areas, helicopter transport takes longer and is less > > effective than transportaion by ambulance. > > > > However, I don't think I would want someone with these signs transported > > without chest decompression. > > > > Avi > > > > > > ========================================================================== > > Aviel Roy-Shapira, M.D. Soroka University Hospital & > > Dept. of Surgery A. and Ben-Gurion University Medical School > > the Critical Care Unit POB 151, Beer Sheva, Israel > > > > email:firstname.lastname@example.org Fax:972-7-6403260 voice:972-7-6403390 > > > > > > > > > > -- > > trauma-list : TRAUMA.ORG > > To change your settings or unsubscribe visit: > > http://www.trauma.org/traumalist.html > > > > > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/traumalist.html > ========================================================================== Aviel Roy-Shapira, M.D. Soroka University Hospital & Dept. of Surgery A. and Ben-Gurion University Medical School the Critical Care Unit POB 151, Beer Sheva, Israel email:email@example.com Fax:972-7-6403260 voice:972-7-6403390