Simon,
here's the refs
"Traumatic pneumothorax: is a chest drain always necessary? " Johnson,G, J
Accid Emerg Med 1996, 13, 173-174.
"Traumatic Pnemothorax: a scheme for rapid patient turnover" Knottenbelt
J.D. Injury 1990 21, 77-80.
Surely someone on this list is already managing these conservatively? We
plan to start this but would like to hear from those already doing it.This
is the principal value of the list surely - sharing knowledge.
Steve Meek
> ----------
> From: Simon Carley[SMTP:[log in to unmask]]
> Sent: 02 February 1999 16:45
> To: [log in to unmask]
> Subject: Re: traumatic pneumothoraces
>
> Could you post the references (or better still the abstracts)???
>
> Thanks,
>
> Simon
>
> Simon Carley
> SpR in Emergency Medicine
> Hope Hospital
> Salford
> England
> [log in to unmask]
> -----Original Message-----
> From: Meek, Steve <[log in to unmask]>
> To: [log in to unmask] <[log in to unmask]>
> Date: 02 February 1999 14:43
> Subject: traumatic pneumothoraces
>
>
> >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
> >
> >Steve Meek
> >
>
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