Needle Decompression

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I agree, but how do you distinguish between cardiac tamponade and tension
pneumo in a patient in extremis with a praecordial stab wound and
ipsilateral pneumothorax?  Sure, you can do a 'trial' needle decompression,
but tracheal deviation will make the call, if present.

 
> It doesn't take long, but it's a late sign. I've never seen 
> it in a patient not in extremis. 
> 
> LT
> 
> Sent from my Verizon Wireless BlackBerry
> 
> -----Original Message-----
> From: "Dr Ross Hofmeyr" <wildmedic at gmail.com>
> 
> Date: Wed, 17 Sep 2008 11:50:12
> To: 'Trauma &amp; Critical Care mailing list'<trauma-list at trauma.org>
> Subject: RE: Needle Decompression
> 
> 
> I must be missing something here - what takes so long when 
> checking for
> tracheal deviation?  It's about a 5-second examination.
> 
> R.
> > late sign and demonstrated that looking for the deviation 
> > wasted time and aided in the practitioner loosing focus of 
> > the treatable injuries.  Maybe it is time for main stream EMS 
> 
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