At my last job (I'm EM) we covered two community hospitals, and the gen surg group (which split time between university trauma call and resident surgery coverage and community time) had a guy that took night and weekend call - so he didn't have to be in the office during the week (Stanley would work every weekend, and 3 of the 5 nights a week). Stanley is old school. He SWEARS by the trocar. Says it's the best thing - EVAR!I once did a chest tube with an attending that used a trocar. The book says that method is mentioned only to condemn it.