You've got to love the twitter! Seth Trueger (@mdaware) tweeted that his EM Attending brother-in-law, Charles Maddow, has started using bougies to guide in thoracostomy tubes on morbidly obese patients with thick soft tissue around the entry site. I worried whether the bougie is long enough to allow a sig. portion to be placed in the chest cavity but still allow seldinger maneuver.
My amazing friends from (@HQMedEd) sent this photo:
Then Graham Walker (@grahamwalker) pulled this shot from his sim lab: