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A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury
Joint Authors
Andersen, Mads Jønsson
De Paoli, Frank V.
Mærkedahl, Rikke
Jepsen, Søren Vad
Dalgaard, Karoline Skov
Falstie, Thomas
Gerstrøm, Gustav
Source
Case Reports in Emergency Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-02
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
The survival rate of penetrating cardiac trauma is dismal, with only a few patients reaching the hospital with any signs of life.
Short transport time and close proximity to the trauma center are positive factors for survival.
We report the successful case of a 21-year-old male with penetrating cardiac injury and tension-pneumothorax with long distance to a trauma facility.
The patient was stabbed twice in the anterior left side of the thorax.
The emergency services found the patient with suspicion of left tension-pneumothorax.
Urgent left mini-thoracotomy was established resulting in spontaneous respiration and clinical improvement.
Due to rapid clinical deterioration and clinical suspicion of pericardial tamponade, patient was transported to the local regional hospital only minutes away.
Echocardiography confirmed tamponade, and urgent ultrasound-guided pericardiocentesis was performed.
During the transport blood was intermittently drained from the pericardial sack until arrival at the trauma center where a penetrating injury to the left ventricle was repaired during urgent cardiac surgery.
The patient was discharged 8 days after the incident.
Conclusion.
Well organized emergency medical transport systems increase the chance of survival in penetrating cardiac injuries.
Urgent pericardiocentesis with continuous drainage can help stabilize a patient until arrival at trauma facility.
American Psychological Association (APA)
Andersen, Mads Jønsson& De Paoli, Frank V.& Mærkedahl, Rikke& Jepsen, Søren Vad& Dalgaard, Karoline Skov& Falstie, Thomas…[et al.]. 2019. A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury. Case Reports in Emergency Medicine،Vol. 2019, no. 2019, pp.1-2.
https://search.emarefa.net/detail/BIM-1135907
Modern Language Association (MLA)
Andersen, Mads Jønsson…[et al.]. A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury. Case Reports in Emergency Medicine No. 2019 (2019), pp.1-2.
https://search.emarefa.net/detail/BIM-1135907
American Medical Association (AMA)
Andersen, Mads Jønsson& De Paoli, Frank V.& Mærkedahl, Rikke& Jepsen, Søren Vad& Dalgaard, Karoline Skov& Falstie, Thomas…[et al.]. A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury. Case Reports in Emergency Medicine. 2019. Vol. 2019, no. 2019, pp.1-2.
https://search.emarefa.net/detail/BIM-1135907
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135907