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GSW Mediastinal Travverse
KMATTOX at aol.com KMATTOX at aol.comSun Sep 13 17:24:06 BST 2009
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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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