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GSW Mediastinal Travverse

KMATTOX at aol.com KMATTOX at aol.com
Sun Sep 13 17:24:06 BST 2009


BINGO.    You are learning.  I think we go to the CT  because all trauma 
surgeons and emergency physicians must have stock in the  companies that make 
the CT scanners.    The chest X-ray showed a  left hemothorax, unevacuated 
completely, and with 1000 ml in the chest  collection system, and a 
trajectory which suggested an esophageal  injury.   There was clear indication for a 
left thoracotomy, and at  the left thoracotomy, the surgeon states they saw 
the esophageal injury,  confirmed by endoscopy.     At a T-2 location, this 
is clear  indication for a RIGHT posterolateral thoracotomy 4th  
interspace..    
 
 
 
In a message dated 9/13/2009 11:17:50 A.M. Central Daylight Time,  
rfsmithmd at comcast.net writes:

OK, so  why go to CT then, with a pt. who's bp is in the  40s?



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