List Archives

Mon Aug 13 19:25:33 BST 2007

The chest xray is just as I would have imagined it to
look.  Unless there is some evidence of head injury, I
stand by my original post.  

After some thought, if we don't really know whether or
not a bullet went through that lip and and broke his
tooth, then we should consider a concominant blunt
mechanism (blunt injury with penetrating injury was a
unique phenomenon we'd see quite often in Newark when
someone would get SHOT and then be PUSHED out of a
moving car, off a building or whatever) with the blown
pupil it may be defendable to get a CT of the head
prior to any other intervention, provided that he is
stable enough.  

I failed to mention, after reading Tim's post, that he
should undergo bronchoscopy and esophagoscopy during
surgery if he's stable enough to handle it.  

Ben Reynolds, PA-C
Pittsburgh, PA

--- sjasmd at aol.com wrote:

> ATTACHED FIND THE ADMISSION CHEST RADIOGRAPH
> 
> 
> sal
> 
> 
> -----Original Message-----
> From: KMATTOX at aol.com
> To: trauma-list at trauma.org
> Sent: Sun, 12 Aug 2007 11:37 am
> Subject: Re: UPPER MEDIASTINUM Trans thoracic
> INJURY.
> 
> 
> 
>  
> In a message dated 8/12/2007 10:29:55 A.M. Central
> Daylight Time,  
> aneurysm_42 at yahoo.com writes:
> 
> Unless  the chest xray was provacative for a left
> hemothorax, I would not place a  second chest tube
> unless I was really concerned that there should 
> have
> been more output 
> 
> 
> SAL, Please share the chest X-ray if possible.   
> THis would  cause us all to 
> make more speculations
>  
> k
> 
> 
> 
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UPPER MEDIASTINUM Trans thoracic INJURY: ADMISSION CHEST RADIOGRAPH