You learn something any day... So you clamp it for a period prior to reassessment... ok, cool

Makes sense.
They probably just told us never to clamp it solely because for all intents and purposes, clamping would be counterproductive in our level of care. We aren't doing Xrays to make sure it's working, we just hope to hear the flutter valve sound like a birthday kazoo and our patient be able to breath again.
Thanks!