No absolute contraindications to ED<unk> (emergent procedure)
Relative Contraindications
Blunt injury without witness cardiac activity
Penetrating abdominal trauma without cardiac activity
Non-traumatic cardiac arrest
Severe head injury
Severe multi-system injury
Improper Setting
Understaffed ER/Improperly trained staff/Insufficient equipment
Blunt injury without witness cardiac activity
Penetrating abdominal trauma without cardiac activity
Non-traumatic cardiac arrest
Severe head injury
Severe multi-system injury
Improper Setting
Understaffed ER/Improperly trained staff/Insufficient equipment
Understaffed ER/Improperly trained staff/Insufficient equipment
Thoracotomy 
Needle thoracostomy
Finger thoracostomy
Thoracic lavage
Pulmonary antibiotics
Chest tube
Chest tube 
Thoracentesis