Clamp the the chest tube in an EMS placed chest tube

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The only time I'll ever clamp a chest tube is for a few seconds to connect  
it to the atrium or direct the tube away from my crotch such that I don't get  
soaked in blood... I was responding to Dr. Mattox's post regarding there NEVER 
 being an indication for out-of-hospital tube thoracostomy. I apologize if I  
created any confusion. My teachers always told me that if I never clamped a  
chest tube, I would never hurt a patient by clamping the chest tube. 
 
Doctor, I mentioned Moose, and I can assure you, the range of our beloved  
Alces alces  doesn't taken them that close to the North Pole, and  I can further 
assure you that there are many places on this continent  where access to even 
a community hospital within four hours of injury is not  possible, and many 
of these are well south of the Arctic circle. 
 
Regards 
 
 

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