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chest tubes in the field can be placed in 2 areas IMHO. For air and maybe blood, can place it anteriorly, 2nd or 3rd space, mid-clavicular line but it has to be a smaller tube (12F-20F). For large hemothorax +/- air, anterior axillary line, 5th space, 28-36F tube.
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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