TY - JOUR T1 - BET 4 JF - Emergency Medicine Journal JO - Emerg Med J SP - 792 LP - 793 DO - 10.1136/emj.2010.101337 VL - 27 IS - 10 A2 - , Y1 - 2010/10/01 UR - http://emj.bmj.com/content/27/10/792.abstract N2 - Report by: John Trenfield, SpR Emergency MedicineSearch checked by: Ian Maconochie, Consultant in Paediatric Emergency MedicineInstitution: St Mary's Hospital, Paddington, London, UKThree-part questionIn [a patient presenting with a pleural effusion that requires draining] should [the chest drain be inserted apically or basally] to [drain most efficiently]?Clinical scenarioA patient presents to the emergency department with significant dyspnoea. A chest x-ray reveals a pleural effusion. Should the chest drain be aimed apically or basally to drain efficiently?Search strategyMedline 1966-03/04 … ER -