Intended for healthcare professionals


Commentary: A conservative management plan from a place where barracuda are rare

BMJ 1996; 313 doi: (Published 21 December 1996) Cite this as: BMJ 1996;313:1618
  1. John Rees, consultant chest physiciana
  1. a Guy's Hospital, London SE1 9RT

    The general availability of chest x ray examinations has prompted some clinicians to diminish the importance of physical examination of the chest. Faced with a barracuda wound to the chest in a remote part of the Solomon Islands there is nothing else to fall back on, and percussion, tactile vocal fremitus, and breath sounds resume their true importance. Dr Berger had to advise at the end of a telephone line before managing to reach the patient. It was then that the main dilemma arose: was it to be …

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