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Wed May 2 03:32:53 BST 2007

Ken,
You neglected F - that shoudl be the clamshell, which I believe in this
case would give you the ability to quickly look at the back of the heart
 - after you temporize the anterior hole(s)  -  as you are getting ready
to roll to the OR.
Ron

>>> <KMATTOX at aol.com> 5/1/2007 10:00 PM >>>
In a message dated 5/1/2007 8:56:36 P.M. Central Daylight Time,  
joe.nemeth at mcgill.ca writes:

bilateral large bore tube thoracostomies
NO NEVER< NEVER NEVER  

●

B.  resuscitative left anterolateral thoracotomy (in the ED)

YES YES  YES

C. fluid bolus or o-positive packed RBCs (i.e.  volume-expand)

NO NO NO

D. start epinephrine, calcium

NO NO NO

E. subxyphoind pericardiocentesis

NO NO NO NO for a long list of reasons

F. none of the above

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