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Sat Mar 17 22:23:03 GMT 2007

VATS will quickly get this terminally ill patient back home to friends and 
family.

<html><div>NOTHING&nbsp; SPLENDID Has Ever Been Achieved Except By Those Who 
DARED BELIEVE THAT SOMETHING INSIDE THEM&nbsp; Was Superior to 
CIRCUMSTANCE</div></html>

>From: Roy Danks <roydanks at hotmail.com>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: <trauma-list at trauma.org>
>Subject: (no subject)
>Date: Fri, 16 Mar 2007 17:21:37 -0600
>
>63 y.o. male falls in bathtub and has multiple, displaced left rib fx, 
>hemopneumothorax.  Also has fairly recent dx of Stage IV colon CA (mets to 
>lung and liver)...mets in the affected (traumatized lung).  Now 8 days post 
>injury and has retrained HTX (probably 300-500 ml...who knows, it's 
>compressing and causing atelectasis, but no hypoxemia)...and about 15% PTX. 
>  Chest tube not in good position really.
>
>Do I:  Replace the chest tube?  Do a VATS, evac the clot and place chest 
>tube(s) then or do nothing and see what happens?
>
>Thanks.
>
>R. Danks
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