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A 30-year-old male got a gunshot to the back of the left chest, and the bullet exits the left anterior chest. He is hemodynamically stable. A chest x-ray reveals hemothorax. A chest tube is inserted and yields a lot of blood, > 250 ml/hour. What is the next step in management?

A

Reassure

B

Transfuse and observe drainage for another hour

C

Insert a Swan-Ganz catheter

D

Perform a left thoracotomy

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