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Charles Krin cskrin2 at hughes.net
Fri Aug 14 13:41:37 BST 2015

I don't know about McSwain's Dart, but I understand that the failure
rate of needle decompression is rather high...through a combination of
adverse anatomy and diagnostic problems.


On 8/14/2015 07:20, Robert Smith wrote:
> Is there  a difference in empyema rate or other complication rates chest tube vs. needle decompression?
> Robert F. Smith MD, MPH
> Cook County Trauma (ret)
>> On Aug 14, 2015, at 7:03 AM, Charles Krin <cskrin2 at hughes.net> wrote:
>> I agree with Larry, but also pointed out that it is NOT something US
>> paramedics are routinely educated and trained to handle, nor something
>> that generally falls under a paramedic scope of practice to the best of
>> my knowledge.
>> And as more military medics transition back to civilian life, it will be
>> interesting to see how it affects the National Registry and other
>> Paramedic certifying groups. It is nice that most of the military medics
>> are now able to test for appropriate NR levels (something that was not
>> directly available when I was enlisted back in the early 1980s), but
>> medics and corpsmen have been able to do *many* more procedures than
>> their civilian counterparts, at least on other military members.
>> Chuck

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