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Mon Aug 28 02:03:36 BST 2006

There is no indication for thoracotomy from your descrption, EX-LAP HIM
with DCL then to TICU. If to much time spent in the OR that left chest
tube output will be torrential.
good luck!
juan

>>> shebrain1 at yahoo.com 08/27/06 6:46 PM >>>
30s year-old M. sustained MVC, seatbelted, ejected from the car, GCS in
field 1-2-1, hypoxeic during transport sat 40-70% (Transpost Time 35
in), on arrival pt was was intubated BP 115/70, HR 152, Femoral line
inserted and resusucitation started. Initial Hb 10, sec Hb 8. Sat
70s-85%, CXR: L mod HTX, Ct inserted 400ml initial. FAST positive for
fluid in abdomen. ABGs pH 7.09, PaO2 430 (on 100FiO2), BE -15.
  What cavity should be entered first? Abdomen (obvious) or chest? Or
both?
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