Dr Inaba respectfully it seems to me that if there was ANY X-ray at all at bedside in a trauma pt esp those that we have chosen to intubate it would have to be just the chest X-ray. While u/s and clinical exam is huge in aiding to think of the extent of pulmonary contusions, pneumothorax,hemopneumothorax begging for drainage or simply aiding in trajectory of what is likely to happen in the next 15 min while pt is in CT the plain X-ray quickly confirms depth of ET tube placement I feel. We are all poor at looking for the end of where the tube is in CT though I know it can be found. Respectfully submitted.
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Sudhir P. - June 18, 2016 4:38 PM
Dr Inaba respectfully it seems to me that if there was ANY X-ray at all at bedside in a trauma pt esp those that we have chosen to intubate it would have to be just the chest X-ray. While u/s and clinical exam is huge in aiding to think of the extent of pulmonary contusions, pneumothorax,hemopneumothorax begging for drainage or simply aiding in trajectory of what is likely to happen in the next 15 min while pt is in CT the plain X-ray quickly confirms depth of ET tube placement I feel. We are all poor at looking for the end of where the tube is in CT though I know it can be found. Respectfully submitted.