The use of echocardiography in the emergency management of nonpenetrating traumatic cardiac rupture
| Autor: | William A Schiavone, Badr K Ghumrawi, Roger H L'Hommedieu, A Roger Tsai, Anthony J Pipitone, Dennis W Haver, Dominick R Catalano, Philip H Keyser |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Thorax Emergency Medical Services medicine.medical_specialty medicine.medical_treatment Wounds Nonpenetrating Chest pain Pericardial effusion Blunt Internal medicine Cardiac tamponade Humans Medicine Heart Atria Thoracotomy business.industry Cardiac Rupture Emergency department medicine.disease Cardiac Tamponade Heart Injuries Echocardiography cardiovascular system Emergency Medicine Cardiology Female Hypotension medicine.symptom business |
| Zdroj: | Annals of Emergency Medicine. 20:1248-1250 |
| ISSN: | 0196-0644 |
| DOI: | 10.1016/s0196-0644(05)81483-0 |
| Popis: | Three young adults, all drivers involved in three separate motor vehicle accidents that occurred in Portage County, Ohio, during a three-week period, sustained blunt, nonpenetrating chest trauma that resulted in right atrial rupture and cardiac tamponade. On arrival in the emergency department, all were hypotensive and complained of chest pain; only one had jugular venous distension and upper body cyanosis. All had normal chest radiographs, and one had ECG ST elevation. Echocardiography showed a moderate-sized pericardial effusion and signs of cardiac tamponade in all three. Two of the three survived emergency thoracotomy and repair of the right atrial rupture. These cases demonstrate the importance of echocardiography in diagnosing cardiac tamponade as the classic signs are not always present. |
| Databáze: | OpenAIRE |
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