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Trauma Surgeons Gone Wild – Chest Tubes in the Morbidly Obese

Mizuho Spangler, DO and Kenji Inaba, MD
00:00
16:58
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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
00:00
01:57

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Tag Trauma
EM:RAP 2016 September Written Summary 655 KB - PDF

Chest tubes are not without serious complications, especially in the obese patient.  Kenji gives a series of tips to make the procedure as simple as possible.

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Ben S., Dr -

Kenji,
I have been using a sterile bougie on morbidly obese patients to help pass the tube. Once my finger in in thoracic cavity pass it along finger and it seems to help pass the tube easily.
Do you see any downside to this? Or have any comments on that technique?
Thanks

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The Return Full episode audio for MD edition 257:32 min - 358 MB - M4AEM:RAP 2016 September Canadian Edition Canadian 31:48 min - 44 MB - MP3EM:RAP 2016 September Aussie Edition Australian 25:03 min - 34 MB - MP3EM:RAP 2016 September German Edition Deutsche 115:24 min - 159 MB - MP3EM:RAP 2016 September Spanish Edition Español 78:56 min - 108 MB - MP3EM:RAP 2016 September French Edition Français 46:51 min - 64 MB - MP3EM:RAP 2016 September Board Review Answers 197 KB - PDFEM:RAP 2016 September Board Review Questions 658 KB - PDFEM:RAP 2016 September Individual MP3 Files 302 MB - ZIPEM:RAP 2016 September Written Summary 655 KB - PDFEMRAP Resumen en Español Septiembre 2016 1 MB - PDF