Comments on: Somehow, I Don't Think "Oops" Quite Covers It

By: TOTWTYTR

TOTWTYTR — Sun, 26 Jul 2009 09:45:22 +0000

I've seen a few sucking chest wounds over the years. Well, figuratively ALL chest wounds suck, but that's not what I mean.

All of them have been from knife or other edged implement wounds, none from gun shots.

Most of what we are taught about GSWs and sucking chest wounds comes from military medicine where rifle caliber wounds are the norm. In the civilian setting, smaller and usually slower bullets cause smaller wounds which are less likely to meet the requirements imposed by the laws of physics in order to create sucking chest wounds.

Why we persist in teaching the wrong lessons in wound care never ceases to amaze me.

By: TOTWTYTR

TOTWTYTR — Sun, 26 Jul 2009 09:45:00 +0000

I've seen a few sucking chest wounds over the years. Well, figuratively ALL chest wounds suck, but that's not what I mean. All of them have been from knife or other edged implement wounds, none from gun shots. Most of what we are taught about GSWs and sucking chest wounds comes from military medicine where rifle caliber wounds are the norm. In the civilian setting, smaller and usually slower bullets cause smaller wounds which are less likely to meet the requirements imposed by the laws of physics in order to create sucking chest wounds. Why we persist in teaching the wrong lessons in wound care never ceases to amaze me.

By: Wyatt Earp

Wyatt Earp — Sat, 25 Jul 2009 19:08:51 +0000

We once had a prisoner that had to get a tube inserted into his lung – it partially collapsed. I'll never forget the screaming.

By: Wyatt Earp

Wyatt Earp — Sat, 25 Jul 2009 19:08:00 +0000

We once had a prisoner that had to get a tube inserted into his lung – it partially collapsed. I'll never forget the screaming.

By: Rogue Medic

Rogue Medic — Sat, 25 Jul 2009 00:06:07 +0000

Anonymous,

Good call on the Cycles & More sign. The patient is worse after the intervention, than they were before.

One way to do this with a small opening is to have a patient with some kind of airway obstruction at the same time as the iatrogenic aperture. Not that this is a recommended way of treating patients.

By: Rogue Medic

Rogue Medic — Sat, 25 Jul 2009 00:06:00 +0000

Anonymous,Good call on the Cycles & More sign. The patient is worse after the intervention, than they were before. One way to do this with a small opening is to have a patient with some kind of airway obstruction at the same time as the iatrogenic aperture. Not that this is a recommended way of treating patients.

By: Medic(three)

Medic(three) — Thu, 23 Jul 2009 20:09:15 +0000

At least he used his finger and not say a… broom handle.

By: Medic(three)

Medic(three) — Thu, 23 Jul 2009 20:09:00 +0000

At least he used his finger and not say a… broom handle.

By: NJ Public Servant

NJ Public Servant — Thu, 23 Jul 2009 18:55:21 +0000

Bravo Zulu, docs. Very BZ.

/sarcasm

By: NJ Public Servant

NJ Public Servant — Thu, 23 Jul 2009 18:55:00 +0000

Bravo Zulu, docs. Very BZ./sarcasm