Survival After Cardiac Arrest With Instantaneous Rigorlike Stiffness: A Case Report
| Autor: | Yohei Okada, Ryoji Iiduka, Hiromichi Narumiya, Naho Kobayashi, Taku Iwami, Hirotake Nishimura, Hirokazu Kotani, Kaoru Koike |
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| Rok vydání: | 2019 |
| Předmět: |
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medicine.medical_specialty Resuscitation Adolescent Hyperkalemia medicine.medical_treatment macromolecular substances Amputation Surgical Running 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine Internal medicine Rare case Extracorporeal membrane oxygenation Humans Medicine 030212 general & internal medicine Rigor mortis Leg business.industry Rigor Mortis 030208 emergency & critical care medicine musculoskeletal system medicine.disease Cardiopulmonary Resuscitation Muscle Spasticity cardiovascular system Emergency Medicine Cardiology Acidosis Lactic medicine.symptom business Rhabdomyolysis Out-of-Hospital Cardiac Arrest |
| Zdroj: | Annals of Emergency Medicine. 73:393-396 |
| ISSN: | 0196-0644 |
| Popis: | Instantaneous rigor is the immediate appearance of rigor mortis after cardiac arrest. To our knowledge, no previous reports exist on resuscitation of such patients. A young athlete suddenly collapsed with cardiac arrest during a marathon; his legs stiffened with instantaneous rigorlike stiffness. This stiffening provoked hyperkalemia, rhabdomyolysis, and multiple organ failure. We decided to amputate both legs, with venoarterial extracorporeal membrane oxygenation support. The patient recovered and was discharged without neurologic impairment. This rare case highlights the potentially significant effect of instantaneous rigor. |
| Databáze: | OpenAIRE |
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