List Archives

Wed Jul 4 11:07:28 BST 2007

Mike

There are few answers to the question.

1.    Ten day without any residual pneumothorax the patient can travel

2.    There is a need for medical escort with capability of inserting
chest tube.

3.    The best way is to fly him by air ambulance. Keep the cabin in see
level pressure

Dr Eran Tal-Or

Trauma Unit 

Rambam Medical Center    

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Sise, Mike MD
Sent: Tuesday, July 03, 2007 7:57 PM
To: trauma-list at trauma.org
Subject: Advice on air evacuation after pneumothorax?

We have a young male victim of a car crash one month ago in which he

suffered a C7 burst fractures with qudraplegia, multiple bilateral rib

fractures with bilateral hemo-pnuemothoraces and pulmonary contusions.

Last chest tube discontinued 10 days ago. Weaned to trach collar with

supplemental oxygen, saturating well with clear chest X-ray and no

reidual pneumothorax on CT scan chest abdomen pelvis yesterday. 

Family lives on East Coast US, we are in San Diego. Tentativley planning

air evacutation to an East Coast spinal injury rehab center next week,

less than 3 weeks since last chest tube out . What impact, if any, does

the chest injury have on the safety of air evacuation? We routinely

counsel patients not to fly for 6 to 12 weeks after a pneumothorax. Is

this supported by evidence or is this another trauma urban legend? 

Your thoughts?

Mike Sise

"Scripps Information Security" 

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Advice on air evacuation after pneumothorax?