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Fri, 20 Dec 2002 12:24:59 +0200 (IST)

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" <avir@bgumail.bgu.ac.il>
> To: <trauma-list@trauma.org>
> 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:avir@bgumail.bgu.ac.il         Fax:972-7-6403260 voice:972-7-6403390
> >
> >
> >
> >
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> >
> 
> 
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==========================================================================
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:avir@bgumail.bgu.ac.il         Fax:972-7-6403260 voice:972-7-6403390

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AW: Tension Pneumothorax and SHARKS