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A crackling (rice crispies) and blowing chest

BMJ 2014; 348 doi: (Published 26 March 2014) Cite this as: BMJ 2014;348:g2229
  1. Salomone Di Saverio, consultant general and trauma surgeon,
  2. Andrea Biscardi, consultant general and trauma surgeon,
  3. Nazareno Smerieri, surgical registrar,
  4. Kenji Kawamukai, consultant thoracic surgeon,
  5. Gregorio Tugnoli, consultant general and trauma surgeon, head of the trauma surgery unit
  1. 1Trauma Surgery Unit, Maggiore Hospital Regional Trauma Center, Bologna Local Health District, Bologna, Italy
  1. salo75{at}

A 35 year old man sustained blunt chest trauma during a quad-bike crash. He had small bruises on his left chest wall and a diffuse crackling …

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