Am i the only pulmonologist who feel stressed in front of a pneumothorax?
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Respiratory medicine
Am i the only pulmonologist who feel stressed in front of a pneumothorax?
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Curious to know about other's feeling ..
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Cat:OpenClinicalForum:8114d353-b41b-4a03-b052-dc009589d5cf
Cat:OpenClinicalForum:8114d353-b41b-4a03-b052-dc009589d5cfDiscussion:0ec3af5f-e073-439e-89bf-f0ea51fcaddb
Forums » Open clinical » Respiratory medicine » Am i the only pulmonologist who feel stressed in front of a pneumothorax?
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Am i the only pulmonologist who feel stressed in front of a pneumothorax?
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Re: Am i the only pulmonologist who feel stressed in front of a pneumothorax?
posted at 28/10/2012 7:59 PM GMT
on bmj.com
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Posts: 3059
First: 27/3/2012 Last: 13/6/2013 |
Pneumothorax is a real medical emergency & I also feel it horrible but a challenging situation. It is always helpful to have assistance of another competent pulmonologist or anesthesiologist. |
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Re: Am i the only pulmonologist who feel stressed in front of a pneumothorax?
posted at 28/10/2012 8:18 PM GMT
on bmj.com
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Posts: 61
First: 28/10/2012 Last: 19/2/2013 |
...Or a thoracic surgeon ! ( i asked for a thoracic surgeon advise once when i was alone during a night shift , and wasn't actually sure if it was a compressive pneumothorax or a giant bulla ) PS : i'm new on this forum and i'm using french language in medicine , so please excuse my english , i'm trying to improve it . I also don't know if i can post interesting CT scans about the case i've mentioned . |
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Re: Am i the only pulmonologist who feel stressed in front of a pneumothorax?
posted at 29/10/2012 7:56 PM GMT
on bmj.com
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Posts: 61
First: 28/10/2012 Last: 19/2/2013 |
We have interesting pneumothox cases at the pulmonology service of Bab El Oued university Hospital , Algiers , ALGERIA . Would be a pleasure to share them with you guys ! :-) Just Give me some time and i'll upload the cases on this page :-)
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Re: Am i the only pulmonologist who feel stressed in front of a pneumothorax?
posted at 29/10/2012 8:40 PM GMT
on bmj.com
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Posts: 1343
First: 13/4/2010 Last: 19/6/2013 |
As Dr. K. says a pneuomothorax can be a real medical emergency. For me, being 125 miles away from my nearest general hospital, it's always a bit of a worry. But, like any other emergency, if keep calm and you follow your ABCs you won't go far wrong. So far in nearly 20 years of remote rural practice I have never had to put in a thoracostomy tube and can only recall once decompressing a possible tension with a large bore needle. If you are really worried just make sure you get good training in putting in thoracostomy tubes - if you can at least do that you will do just fine and so will your patient. |
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Re: Am i the only pulmonologist who feel stressed in front of a pneumothorax?
posted at 30/10/2012 9:03 AM GMT
on bmj.com
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Posts: 347
First: 17/12/2011 Last: 18/6/2013 |
I am a UK GP. I have not inserted a chest drain since I did my first house job at a 'Chest Hospital' over 30 years ago . I can still remember inserting chest drains. I don't like hurting people and they are very big needles!. I was not very keen on doing lumbar puncture on children with suspected meningitis either, in those days we did them, No patients had complications , but I and probably the patients did not enjoy the procedure. As a GP I used to insert 'Zoladex' [Goserelin, a long acting gonadorelin analogue depot] implant in a few prostatic cancer patients on home visits and I did not like doing these, big needles although not the size of chest drains. The district nurses do these depot injections now. I was definitely not 'cut out' to be a surgeon! I prefer the non surgical bits of medicine |
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Re: Am i the only pulmonologist who feel stressed in front of a pneumothorax?
posted at 30/10/2012 10:17 AM GMT
on bmj.com
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Posts: 3007
First: 10/3/2009 Last: 19/6/2013 |
I had a tension pneumothorax on a thoracic ward round as a trainee in thoracic med. I diagnosed it myself. The ICC went in without local anaesthetic. They were in a hurry. I was very dyspnoeic. My chest was bruised for weeks. I always carried a large bore IV set in my car in case for a few years after that. I never needed it but had another one ten years later and had surgery for it. Nothing phases me. I work in slow motion in catastrophes. I have been at a dozen serious car crashes. The time-space continuum slows down for me while others fluff around in chaos. I always feel calm in catastrophes. It is a Greek word. The first Greek god was Chaos. Hades is very patient and Hope is more impatient but persuasive, |
Forums » Open clinical » Respiratory medicine » Am i the only pulmonologist who feel stressed in front of a pneumothorax?
