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Author's response: spontaneously breathing patients get tension pneumothorax
  1. Graham Simpson
  1. Correspondence to Dr Graham Simpson, Department of Thoracic Medicine, Cairns Base Hospital, PO Box 166, Stratford, Queensland 4870, Australia; fgsimpson{at}

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In my brief letter1 I did not mean to imply that Leigh-Smith and Harris2 found the case reports they cited as unconvincing, merely that I did not find it convincing that supra-atmospheric pleural pressure was the main explanation for the clinical condition of these patients. The ill patients in the cases cited by Leigh-Smith and Harris and reported by others …

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  • Competing interests None.

  • Provenance and peer review Commissioned; internally peer reviewed.

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