Massive intrapericardial and intrathoracic hemorrhage secondary to unusual injuries causing cardiopulmonary arrest

During transport by emergency medical services, the patient suffered cardiac arrest and required cardiopulmonary resuscitation (CPR). Vital signs: blood pressure 58/33 mm Hg; pulse 144 bpm; respiratory rate 33 bmp; and oxygen saturation 85%. What we did and why Correct answer: C The patient was rapi...

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Bibliographic Details
Published inTrauma surgery & acute care open Vol. 1; no. 1; p. e000026
Main Authors Ogun, O A, Wagner, M, Asensio, J A
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.08.2016
BMJ Publishing Group
Subjects
Cardiac arrest
Cardiopulmonary resuscitation
Challenges in Trauma and Acute Care Surgery
Chest tubes
CPR
Injuries
Laparotomy
Ostomy
Trauma
Veins & arteries
cardiac arrest
penetrating cardiac or great vessel injury
traumatic hemorrhage
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Summary:During transport by emergency medical services, the patient suffered cardiac arrest and required cardiopulmonary resuscitation (CPR). Vital signs: blood pressure 58/33 mm Hg; pulse 144 bpm; respiratory rate 33 bmp; and oxygen saturation 85%. What we did and why Correct answer: C The patient was rapidly transported to the operating room (OR) where we performed median sternotomy as the best approach; since he had a pericardial tamponade clinically and by FAST as well as a suspected left subclavian injury.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2016-000026