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A new interesting case for you...

Navsaria, P, Pradeep trauma-list@trauma.org
Thu, 28 Mar 2002 08:00:29 +0200


Hi 

I would insert RIGHT intercostal drain, maybe a LEFT as well.

Emergent laparotomy - control bleeding

Subxiphoid window and proceed if necessary

Depending on chest drain output - thoracotomy may be indicated

Complete surgery with on-table rigid or flexible scope to exclude 
thoracic oesophageal injury

Pradeep Navsaria
South Africa