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Tue Sep 5 05:48:02 BST 2006

What if?  What about?  I saw on ER....Please.... 

-----Original Message-----
From: Nappio at aol.com
To: trauma-list at trauma.org
Sent: Mon, 4 Sep 2006 11:10 AM
Subject: Crocodile hunter.

I needed to ask.  If any surgeon was present when a barb pierced  the 
crocodile hunter's heart, and you had some type of sharp instrument  nearby and 
he 
progressed to cardiac arrest, what would you do?(Rhetorically  diagnosing to 
yourself cardiac tamponade)
ACLS?
Nothing?
Pericardial window in the field(not sure if this has ever been done)
thoracotomy in the field(with no rib spreader and only bystanders to pull  
the ribs apart)

Assuming no syringe and needles were nearby of course.

BTW-a google search revealed around a half dozen deaths and one survivor of  
cardiac injury from a stingray.  The survivor indeed had tamponade relieved  
by pericardiocentesis from a sealed injury to a coronary  vessel.    Poor SOB 
Irwin,,I'll miss his shows. 

DN
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Crocodile hunter.