Article Text
Best Evidence Topic reports
BET 1: IS A CHEST DRAIN NECESSARY IN STABLE PATIENTS WITH TRAUMATIC PNEUMOTHORAX?
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Report by Linda Symington, Specialist Registrar
Search checked by Elizabeth McGugan, Specialist Registrar
Institution: Ninewells Hospital, Dundee, UK
CLINICAL SCENARIO
A patient presents to the emergency department following an isolated chest injury. He is not dyspnoeic and recorded observations are normal but chest x ray demonstrates a simple pneumothorax. You wonder whether this patient requires formal chest drain insertion or if he can be treated conservatively?
THREE-PART QUESTION
In [stable patients with traumatic pneumothorax] is …