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Tension Pneumothorax and SHARKS

yoram klein trauma-list@trauma.org
Mon, 23 Dec 2002 11:40:28 -0800 (PST) 

Hi Eitan.
Massive hemothorax , severe lung contusion, or
pericardial tamponade are all possible etiologies for
respiratory distress in a patient with GSW to the
chest.
I think that one of the biggest problem with needle
application is the false sense of security. There is a
misconception (which is supported by the ATLS), that
needle appliocation solve the problem of TP,  at least
 temporarily. Except for the fact that there is no
evidence to support needle application, at least half
of them are found to be outside the pleural cavity
anyhow.
Merry Christmas and happy new year
Yoram Klein

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