Wrong incisions

EXAMINATION, PATIENT #1 The patient was agitated and thrashing about. His blood pressure was 70 mm Hg systolic, heart rate was 130 beats/min, and respiratory rate was 25 breaths/min with barely audible breath sounds on the left and normal breath sounds on the right. As resuscitation with crystalloid solutions and packed red blood cells was performed, an emergency chest Xray showed a left hemothorax with a mediastinal shift to the right (figure 1). A left thoracostomy tube was inserted, and 1000 mL of dark blood was rapidly evacuated and autotransfused.