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Severe Decompression Illness: Case Report, Prehospital Recognition, and Regional Transport Considerations
المؤلفون المشاركون
Estrada, Julie
De Boer, Kevin
Huesgen, Karl
Meurer, David
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-10-04
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
A 46-year-old male presented to our tertiary care emergency department (ED) with shortness of breath and chest pain following an uneventful four-hour SCUBA dive at 100 feet.
His prehospital emergency medical services (EMS) assessment revealed transient hypotension and hypoxia.
He later developed progressive skin mottling.
Serology was significant for acute kidney injury, transaminitis, hemoconcentration, and hypoxia on an arterial blood gas.
Computed tomography (CT) angiography demonstrated intravascular gas throughout the mesenteric and pulmonary arteries as well as the portal venous system.
No abnormality was seen on head CT and the patient had normal mental status.
Prehospital nonrebreather oxygen therapy was changed to continuous positive airway pressure (CPAP) upon ED arrival, and the patient was intubated prior to transfer to a hyperbaric facility.
However, within 24 hours the patient was found to have multiorgan failure, diffuse cerebral edema, and brain death despite no further episodes of hypotension or hypoxia.
No intracranial gas was seen on repeat head CT.
Our case demonstrates the importance of early recognition of decompression illness by EMS personnel, consideration of ground versus flight transportation of these patients to the nearest hyperbaric center, and the possible use of prehospital CPAP as an alternative to enhance oxygenation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Estrada, Julie& Meurer, David& De Boer, Kevin& Huesgen, Karl. 2017. Severe Decompression Illness: Case Report, Prehospital Recognition, and Regional Transport Considerations. Case Reports in Emergency Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145268
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Estrada, Julie…[et al.]. Severe Decompression Illness: Case Report, Prehospital Recognition, and Regional Transport Considerations. Case Reports in Emergency Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145268
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Estrada, Julie& Meurer, David& De Boer, Kevin& Huesgen, Karl. Severe Decompression Illness: Case Report, Prehospital Recognition, and Regional Transport Considerations. Case Reports in Emergency Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145268
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1145268
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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