Cardiac air emboli secondary to traumatic skull fractures: a rare, successful aspiration in the trauma bay
Autor: | Patrizio Petrone, Amir Humza Sohail, Abin Sajan, D’Andrea K. Joseph, Ricardo A. Jacquez, Hazim Hakmi, Yesha Maniar, Adam Goldstein |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Resuscitation RD1-811 business.industry RC86-88.9 Glasgow Coma Scale Challenges in Trauma and Acute Care Surgery head injuries Medical emergencies. Critical care. Intensive care. First aid Critical Care and Intensive Care Medicine Surgery Catheter medicine.anatomical_structure Blood pressure Heart rate medicine Abdomen closed Neurosurgery neurosurgery Airway business multiple trauma |
Zdroj: | Trauma Surgery & Acute Care Open, Vol 6, Iss 1 (2021) Trauma Surgery & Acute Care Open |
ISSN: | 2397-5776 |
Popis: | An elderly patient aged 70 presented with a level I trauma after being struck by a motor vehicle traveling at unknown speed. The patient was found down and unresponsive by emergency medical services (EMS) with a Glasgow Coma Scale (GCS) score of 3 and was subsequently intubated. An intraosseous (IO) catheter was placed by EMS in the left proximal tibia and fluid resuscitation was started en route. On primary survey, the airway was secured with orotracheal intubation; bilateral breath sounds were auscultated; and correct placement was confirmed with end tidal CO2. Distal pulses were noted with a blood pressure of 135/70 mm Hg and a heart rate of 94 beats/min. The patient’s GCS score improved to 7T (E1V1TM5) in the trauma bay with localization to pain of the bilateral upper extremities. Pupils were 3 mm symmetric and reactive. Secondary survey was significant for bilateral periorbital hematomas and epistaxis, distended abdomen without signs of external trauma, and bilateral knee abrasions. Chest and pelvic X-rays failed to show displaced fractures. The patient was subsequently taken for complete body CT scan. A finding of moderate volume of air in the right ventricle (6 cm widest and 0.8 cm deepest) and main pulmonary … |
Databáze: | OpenAIRE |
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