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Ep 119 Trauma – The First and Last 15 Minutes Part 2

Emergency Medicine Cases

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Bilateral Thoracostomies for Trauma Patients

When do you require bilateral thoracostomies and if you do, then what kind of tube are you putting in after that and for transfer? I think the patient with undifferentiated shock that chemo-numo is on your list. You should almost always favor open procedures to percutaneous procedures as an open airway technique. When it comes to decompression, there's really no way of knowing if you stick a catheter in and you don't get a pfft. What that really means does it mean there was no tension to phenomenon? Does it mean your catheter wasn't long enough to get kinked?"

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