Intercostal Antidote to Hubris

intercostal artery 1

A humbling reminder that will serve as antidote to hubris next time you decide to own the chest tube. Intercostal arteries don’t read anatomy textbooks.

Own the Chest Tube!

chest wound 150 thumb

In this materialistic day and age you can never own too many things… It’s time to Own the Chest Tube!

Once Were Warriors

OnceWereWarriors

Blood slowly dripped from two linear slits on the left side of the man’s chest. He focused on the doctor with a wide eyed stare and spoke in an anxious whisper:

“Doc, don’t let me die… don’t let me die, doc.”

The Patient is Ballooning Up…

Chest radiograph 1

A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.

Broken-hearted chest drain

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This 86 year old male presented with shortness of breath. He developed a complication after insertion of a left chest drain.

Do you know John Hunter?

John Hunter (1728-1793)

The house officer looked at the film on the light box and thought of the elderly physician resting in bed across the corridor. Despite two previous chest drains, a pneumothorax persisted around the left lung. To make matters worse, one of the holes in the side of the remaining chest tube was in that ‘no [...]