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welcome back from your break Iamp;#39;m really excited for this next speaker this is Dr zap cassum um he is going to be talking about a subject that I know heamp;#39;s very passionate about heamp;#39;s written a lot about it heamp;#39;s talked a lot about it um and I think itamp;#39;s going to be a very exciting one ZF what are you going to be talking about today well today Iamp;#39;m going to be breaking down the resuscitative thorocotomy a really uh exciting energizing procedure that a lot of people think about but might only do once or twice in their career in emergency medicine all right take it away all right thanks so much for having me so uh really great to be here with the uh reesus X crew um I hope youamp;#39;ve been enjoying the conference so my name is ZF cassm I uh work in the emergency department as well as the critical care units uh over at Penn and Philly um and you know when Iamp;#39;m faced with a patient who is dying I really want to think about what is killin