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Gunshot wound to the chest: not always a pneumothorax!
  1. N J Ekbal1,
  2. G Morris2
  1. 1Department of Critical Care, Homerton Hospital NHS Foundation Trust, London, UK
  2. 2Department of Emergency Medicine, Homerton Hospital NHS Foundation Trust, London, UK;
  1. Correspondence toDr N J Ekbal, Department of Critical Care, Homerton Hospital NHS Foundation Trust, Homerton Row, London E9 6SR, UK; zchand7{at}doctors.org.uk

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A patient was shot below the left scapula. Initial resuscitation involved a bag valve mask device. Bilateral chest movements with equal air entry were noted. Subsequently, with spontaneous breathing, chest expansion and air entry became minimal. The patient's voice became inaudible but …

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