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simple thoracostomy = NO needles (just a finger)

DocRickFry at aol.com DocRickFry at aol.com
Wed Aug 4 13:41:42 BST 2004


Once again comes this refrain that suggest somehow that CPR will provide some level of perfusion for a short time--but this simply is not at all true--both by simple logic (how could an exsanguinated patient whose compressions are pouring blood into the pleural space and not the circulation result in any perfusion?) and lack of any evidence whatever--this mindset really must go--especially among such educated professionals who surely must know better.  What we are doing--apparently inadvertently--is extrapolating the value (limited at that) of CPR in the setting of medical cardiac arrest to an entirely different disease process and pathophysiology in which it has no value, without thinking about the flaw of that approach
ERF


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