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Sat Apr 8 18:28:13 BST 2006

You wrote:
">On a more somber note.  I see no reason to put in a chest tube in the  
field.
>  NONE.  I do not understand the logic, usefulness, or  outcomes.   Just 
>get
>to the trauma center."

You mean for a hemothorax only, or for a tension pneumothorax too?

It takes an ambulance about 25 minutes to get from my home to the nearest 
hospital (which dosen't have full surgical capabilities). There are places 
in Israel where it takes longer. This is a long enough time for a T/P to 
kill, and it must be decompressed, dosen't it?
Knowing you're not a big fan of needle decompression, Dr. Mattox, I assume 
you do support tube decompression in such circumstances. Is that right?

>From: KMATTOX at aol.com
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: Clamp the the chest tube in an EMS placed chest tube
>Date: Fri, 7 Apr 2006 10:09:08 EDT
>
>The only theoretical reason to clamp a chest tube is to preserve fresh  
>blood
>that you are going to autotransfuse, and autotransfuse rather urgently,
>using one of the available commercial washing and filtering devices like 
>the  BRAT
>or Cell Saver.   Most ECs do NOT have such devices, so it remains
>theoretical
>
>
>On a more somber note.  I see no reason to put in a chest tube in the  
>field.
>  NONE.  I do not understand the logic, usefulness, or  outcomes.   Just 
>get
>to the trauma center.
>
>k
>--
>trauma-list : TRAUMA.ORG
>To change your settings or unsubscribe visit:
>http://www.trauma.org/traumalist.html

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Clamp the the chest tube in an EMS placed chest tube