The message <[log in to unmask]>
from "Meek, Steve" <[log in to unmask]> contains these words:
> Hello
> Do any list members treat small traumatic pneumothoraces expectantly?
> (observe, no chest drain). Graham Johnson and John Knottenbelt's papers
> suggest this is safe but what is missing is how long to observe for - 12
> hours? The latter's paper from Cape Town suggests chest drains can be
> removed as soon as bubbling stops and x ray shows the lung is inflated...
> any comments? Clearly an obs ward and 24 hour on site middle grade cover are
> prerequisites
We do in Salisbury. Such patients are managed by surgeons on their
wards though.
We don't have an A&E obs ward, nor do we have 24 hour A&E middle grade cover.
(The surgeons do, of course)
--
Helen D. Vecht
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Salisbury, Wiltshire,
Great Britain
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