hey, i've got a great idea!! lets take this guy with pneumomediastinum, pnuemopericardium, and a moderately sized pneumothorax (aka a bunch of air free in his chest...NBD), do absolutely nothing for him in the ED, and then admit him to the floor!! oh, he also has a spleen lac and 6 rib fractures...even better!! he drinks 3 beers and a pint of vodka a day? perfect. just perfect. sounds like someone we should "just watch for awhile" on the floor. yeah, lets give him to a floor nurse who has four other patients and pray that he can call her before he suffocates to death.
great plan, guys. lets see how that works out for us.
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