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Sat Apr 8 21:39:52 BST 2006

In a message dated 4/8/2006 1:47:33 P.M. Central Standard Time,  
Krin135 at aol.com writes:

Then you  and Rick will be willing to testify Pro Bono for the  defense if an 

outlying trauma case with a suspicious chest injury does NOT  get a  chest 
tube 
by an appropriately trained crew and the patient dies  enroute  to the 
receiving trauma facility, having bypassed one or  more small town  
facilities (with 
ED docs who have a better  armamentarum available than the crew)  which are 
NOT 
trauma  centers?

I would be happy to review such a case, if and when such a case is produced  
and it falls into the data that you cite.   Quite honestly, I have not  seen 
or heard of such a case in military or civilian practice in the past  several 
decades.   I HAVE seen a significant number of IATROGENIC (and  even FATAL) 
complications caused by such insertion if needles and tubes in the  ambulance, 
helicopter, and non trauma center personnel.   

k

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Clamp the the chest tube in an EMS placed chest tube