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Originally Posted by swatsurgeon
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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Why would you use the smaller tube at all? With a GSW, would you not assume hemo, even if eventually, and take preventative measures prior? I don't see the downside of going with the larger tube in every case. I probably wouldn't carry the smaller tube.
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