A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury
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 card...
Saved in:
Published in | Case reports in emergency medicine Vol. 2019; no. 2019; pp. 1 - 2 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Cairo, Egypt
Hindawi Publishing Corporation
2019
Hindawi John Wiley & Sons, Inc Hindawi Limited Wiley |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | 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. |
---|---|
AbstractList | 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 tensionpneumothorax. 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. 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. . 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. 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. 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. |
Audience | Academic |
Author | Mærkedahl, Rikke De Paoli, Frank V. Gerstrøm, Gustav Dalgaard, Karoline Skov Andersen, Mads Jønsson Falstie, Thomas Jepsen, Søren Vad |
AuthorAffiliation | 4 Department of Anesthesiology, Herning Hospital, Denmark 5 Prehospital, Medical Emergency Care Units, Central Denmark Region, Denmark 3 Department of Thoracic Surgery, Aarhus University Hospital, Denmark 2 Department of Cardiology, Herning Hospital, Denmark 1 Department of Cardiology, Aarhus University Hospital, Denmark 6 Department of Anesthesiology, Aarhus University Hospital, Denmark |
AuthorAffiliation_xml | – name: 2 Department of Cardiology, Herning Hospital, Denmark – name: 1 Department of Cardiology, Aarhus University Hospital, Denmark – name: 4 Department of Anesthesiology, Herning Hospital, Denmark – name: 3 Department of Thoracic Surgery, Aarhus University Hospital, Denmark – name: 5 Prehospital, Medical Emergency Care Units, Central Denmark Region, Denmark – name: 6 Department of Anesthesiology, Aarhus University Hospital, Denmark |
Author_xml | – sequence: 1 fullname: Gerstrøm, Gustav – sequence: 2 fullname: Dalgaard, Karoline Skov – sequence: 3 fullname: Jepsen, Søren Vad – sequence: 4 fullname: Mærkedahl, Rikke – sequence: 5 fullname: De Paoli, Frank V. – sequence: 6 fullname: Andersen, Mads Jønsson – sequence: 7 fullname: Falstie, Thomas |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31355016$$D View this record in MEDLINE/PubMed |
BookMark | eNqNklGLEzEQgBc58c7z3nyWBR-1d5Nkk2xehFJOLRwoqOBbmE0mbUqbPbNt5f69qa09Cz6YEDaZ_eYjQ-Z5dZb6RFX1ksE1Y1LecGDmhrdGNsI8qS44GBipxrRnx337_by6GoYFlKEkE1o_q84FE1ICUxfV7bie4EB1H2pM9dhvMTny9WSOMe2CXzZ5G7e4rMvxMyVaZ1zHNCtJ2Ud09TQtNvnhRfU04HKgq8P3svr2_vbr5OPo7tOH6WR8N3JCCzMKwSlnAnbQKPBe6q7lgYhTx3zXMg8gDCjdNoKaLnDRQMOwoK1gjkChuKyme6_vcWHvc1xhfrA9Rvs70OeZxbyObkkWjPYSoNMKWSMFoUcN5LjpJGPQyuJ6t3fdb7oVeUep1LY8kZ7-SXFuZ_3WKiWEMqYIXh8Euf-xoWFtF_0mp1K_5VxqyduyHqkZllvFFPoic6s4ODtWwAEabVShrv9BlelpFV158xBL_CTh7T7B5X4YMoXjxRnYXWvYXWvYQ2sU_NXfxR7hP41QgDd7YB6Tx5_xP3VUGAr4SBefAS1-AdrAyDE |
Cites_doi | 10.1097/TA.0b013e31828b82f5 10.1097/TA.0b013e3181f6f72f 10.1177/1460408608090919 10.1016/S0020-1383(01)00068-7 10.1016/0736-4679(94)00135-9 |
ContentType | Journal Article |
Copyright | Copyright © 2019 Mads Jønsson Andersen et al. COPYRIGHT 2019 John Wiley & Sons, Inc. Copyright © 2019 Mads Jønsson Andersen et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0 Copyright © 2019 Mads Jønsson Andersen et al. 2019 |
Copyright_xml | – notice: Copyright © 2019 Mads Jønsson Andersen et al. – notice: COPYRIGHT 2019 John Wiley & Sons, Inc. – notice: Copyright © 2019 Mads Jønsson Andersen et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0 – notice: Copyright © 2019 Mads Jønsson Andersen et al. 2019 |
DBID | ADJCN RHU RHW RHX NPM AAYXX CITATION 3V. 7X7 7XB 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU CWDGH DWQXO FYUFA GHDGH K9. M0S PIMPY PQEST PQQKQ PQUKI PRINS 5PM DOA |
DOI | 10.1155/2019/2895439 |
DatabaseName | الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals Hindawi Publishing Complete Hindawi Publishing Subscription Journals Open Access Journals (Hindawi Publishing) PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College Middle East & Africa Database ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection Middle East & Africa Database ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest One Academic ProQuest Central (Alumni) |
DatabaseTitleList | PubMed Publicly Available Content Database CrossRef |
Database_xml | – sequence: 1 dbid: RHX name: Open Access Journals (Hindawi Publishing) url: http://www.hindawi.com/journals/ sourceTypes: Publisher – sequence: 2 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 3 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 4 dbid: 7X7 name: Health & Medical Collection url: https://search.proquest.com/healthcomplete sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2090-6498 |
Editor | Imanaka, Kazuhito |
Editor_xml | – sequence: 1 givenname: Kazuhito surname: Imanaka fullname: Imanaka, Kazuhito – fullname: Kazuhito Imanaka |
EndPage | 2 |
ExternalDocumentID | oai_doaj_org_article_097d500b76a1453eada70ec29b511085 A602004796 10_1155_2019_2895439 31355016 1135907 |
Genre | Case Reports |
GeographicLocations | Denmark |
GeographicLocations_xml | – name: Denmark |
GroupedDBID | 24P 3V. 4.4 5VS 7X7 8FI 8FJ AAFWJ AAJEY ABDBF ABUWG ACIHN ADBBV ADJCN ADRAZ AEAQA AFKRA AFPKN AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BAWUL BCNDV BENPR BPHCQ BVXVI CCPQU CWDGH DIK EAD EAP EAS EBS EJD EPL EST ESX FYUFA GROUPED_DOAJ GX1 H13 HMCUK HYE IAO IHR KQ8 M48 M~E OK1 PGMZT PIMPY PQQKQ PROAC RHX RNS RPM UKHRP RHU RHW ITC NPM AAYXX CITATION 7XB 8FK AZQEC DWQXO K9. PQEST PQUKI PRINS 5PM |
ID | FETCH-LOGICAL-c3739-ffc6c9fab0460dd57b82fee2eb1db81d0039067843e4bf234041a460831ce06a3 |
IEDL.DBID | RPM |
ISSN | 2090-648X |
IngestDate | Fri Oct 04 13:15:39 EDT 2024 Tue Sep 17 21:15:20 EDT 2024 Thu Oct 10 18:20:09 EDT 2024 Wed Oct 16 18:05:27 EDT 2024 Tue Oct 15 04:48:56 EDT 2024 Thu Sep 26 17:16:31 EDT 2024 Sat Sep 28 08:36:16 EDT 2024 Sun Jun 02 19:16:25 EDT 2024 Thu Sep 12 16:23:09 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2019 |
Language | English |
License | This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c3739-ffc6c9fab0460dd57b82fee2eb1db81d0039067843e4bf234041a460831ce06a3 |
Notes | Academic Editor: Kazuhito Imanaka |
ORCID | 0000-0002-9320-8227 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6633699/ |
PMID | 31355016 |
PQID | 2257528752 |
PQPubID | 1096400 |
PageCount | 2 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_097d500b76a1453eada70ec29b511085 pubmedcentral_primary_oai_pubmedcentral_nih_gov_6633699 proquest_journals_2257528752 gale_infotracmisc_A602004796 gale_infotracacademiconefile_A602004796 crossref_primary_10_1155_2019_2895439 pubmed_primary_31355016 hindawi_primary_10_1155_2019_2895439 emarefa_primary_1135907 |
PublicationCentury | 2000 |
PublicationDate | 2019-00-00 |
PublicationDateYYYYMMDD | 2019-01-01 |
PublicationDate_xml | – year: 2019 text: 2019-00-00 |
PublicationDecade | 2010 |
PublicationPlace | Cairo, Egypt |
PublicationPlace_xml | – name: Cairo, Egypt – name: United States – name: New York |
PublicationTitle | Case reports in emergency medicine |
PublicationTitleAlternate | Case Rep Emerg Med |
PublicationYear | 2019 |
Publisher | Hindawi Publishing Corporation Hindawi John Wiley & Sons, Inc Hindawi Limited Wiley |
Publisher_xml | – name: Hindawi Publishing Corporation – name: Hindawi – name: John Wiley & Sons, Inc – name: Hindawi Limited – name: Wiley |
References | 1 3 4 5 6 (2) 2015; 23 |
References_xml | – ident: 1 doi: 10.1097/TA.0b013e31828b82f5 – ident: 5 doi: 10.1097/TA.0b013e3181f6f72f – ident: 3 doi: 10.1177/1460408608090919 – ident: 6 doi: 10.1016/S0020-1383(01)00068-7 – ident: 4 doi: 10.1016/0736-4679(94)00135-9 – volume: 23 issue: 41 year: 2015 ident: 2 publication-title: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
SSID | ssj0000651377 |
Score | 2.108095 |
Snippet | 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... |
SourceID | doaj pubmedcentral proquest gale crossref pubmed hindawi emarefa |
SourceType | Open Website Open Access Repository Aggregation Database Index Database Publisher |
StartPage | 1 |
SubjectTerms | Case Report Case reports Catheters Emergency medical care Hospitals Injuries Medical prognosis Mortality Ostomy Stabbings Surgery Thoracic surgery Trauma Trauma centers Ultrasonic imaging |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwEB6hSiAuiDeBBflQxCmqE3vi-LisWhUkEBJU2pvlJDa7HFIErfj7zDjeZYOQeuGYxHnMN-N5xPZngGNvDSUJQ1XW5PhKrQYsvcVAzjB6o33btSGxfX5szi_0-zWuD7b64jlhEz3wBNyJtGZAKTvT-EqjIsG9kaGvbYc8g31iL63woJiafDAylR7vLCct1Ue6Xe9mvSNSwV_ZE6o0UPMe4QfxKNH2p7W5no793k3f3nCB_Gv7rzT079mUB-Hp7D7cy3mlWE7yPIBbYXwIdz7kkfNHcLoUKwpY4jIKP4plHvkXq43fjnzy8zX5DLI6QYefyP8lNt3xK93EFtSLd-M3Qv8xXJydflmdl3kLhbJXRtkyxr7pbfQdj38OA5qurWMINXnooaNUlZfmcrzSKugu1kpLXXlq2qqqD7Lx6gkcjZdjeAbCtpSHSz2E9KtI-jY2MtbWBzNETTGugNc7IN33iSnDpQoD0THgLgNewFtGed-G-a3TCdK6y1p3N2m9gKdZR3_eVSmkSr-AN6wzx_2ToOp9XmZAQjDTlVs2sk68-k0Bi1lL6lf97PJx1voN4ix2JuFy9__pyEkapFoUa_rQyTr2D1H0nUiJdgFmZjczQOZXxu0mEX9Tdqgaa5__DwRfwF0WY_qbtICjqx_X4SXlV1fdq9SVfgPyZBjF priority: 102 providerName: Directory of Open Access Journals – databaseName: Open Access Journals (Hindawi Publishing) dbid: RHX link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3Nb9MwFH9ik0BcEN8ECvJhiFOEE9txfCzVpoIEQsCk3iwnsWl3yBDbxL_Pz65byECCoxMnsd_387N_ITpyRiNIGKqyhuErpRhU6YzyMIbBaenarvUJ7fNDszyV71ZqlUGSLv4s4cPbIT2vzGvkBQq-84AO2jZC5H9arvZLKfCiETcv_kaOGyRDsl3ttrhfe3zifBJGfzqI69B2e5t8cx2z4R-bv8Wc17dO_uaLTu7SnRxEsvmW6_fohh_v0633uUz-gI7nbAHvxM4DcyOb5zI_W6zdZowXP1_BQEDEGJofYewSdO74FQ9FcenZ2_EMpH5IpyfHXxbLMv8voeyFFqYMoW96E1wXi53DoHTX1sH7GuZ46BCXxnO40TlJ4WUXaiG5rBy6tqLqPW-ceESH4_nonxAzLYJuLgef1oW4a0PDQ22c10OQcGgFvdwR0n7bwmLYlE4oZSPBbSZ4QW8ilfd9Iph1ugAG26wblhs9KM473bhKKgHZdpr7vjadiocUVEGPM49-fasSCml9Qa8iz2xURpCqd_lMASYRYa3svOF1AtFvCppNekKJ-snto8z1f0xnthMJm3X9wsIiaoXEU9UY6FY69i8RGKdCVF2QnsjNhCDTO-NmnVC-EQqKxpin_zeyZ3Q7NreLQzM6vPx-5Z8jXLrsXiRl-QlqoAbw priority: 102 providerName: Hindawi Publishing – databaseName: ProQuest Central dbid: BENPR link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1Lb9QwELZKKxAXRHkGtsiHIk5RHT_i-IS2q60KElUFVNqb5Th2d3vIlj7E32fG6902CNFjEu_GGY-_-WZszxCy74wGktBVJQfgK6XoVOmMCgCG0WnpmrYJKdvnSX18Jr_O1CwH3K7ztso1Jiag7pYeY-QHoHdaAb1X_PPlrxKrRuHqai6h8Yjs8EriMu3O4fTk9PsmygIGFlPqYYU5ZsBPks1svftdKXD8K3MAHoeSWCv8nl1K6fvTGV0H124D14_n6Cj_XvyLjv69q_KemTp6Tp5lfknHK4XYJVuhf0GefMsr6C_JdEwnYLjoMlLX03HeAUAnc7fo8eaPW8AO0D4Kl6eAgymrbn8OP0JN8vRLfwGj8IqcHU1_To7LXEqh9EILU8boa2-ia3EdtOuUbhseQ-CA1F0LlBWP6KLdkiLINnIhmawcNG1E5QOrnXhNtvtlH94Sahrg40x2IYWMmGtizSI3LuguSrB1Bfm4FqS9XGXMsMnTUMqiwG0WeEEOUcqbNpjnOt1YXp3bPG0sM7pTjLW6dpVUAtTeaRY8N63C8wuqIG_yGN29qxIKPP6CfMIxszhPQVTe5eMG8BGY8cqOa8ZTfv26IKNBS5hffvB4P4_6A58zWquEzTBwbe-UFjq60o7NnwjopwLCXRA90JuBQIZP-sU8JQAHlihqY979_5XvyVPs4CpeNCLbN1e3YQ8Y1E37IU-TP8RSEnc priority: 102 providerName: ProQuest – databaseName: Scholars Portal Open Access Journals dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwEB6VIqpeEM8SWFAORZwCTmzH8QGhZdWqIBUhwUp7s5zE7i5CWVhaAf-eGcdZmqoSEsfEjuPMfPNy7BmAQ6sVOgltnhWo-DLBW5lZLR0qQ2-VsFVduZDt80N5MhfvF3KxA0O10UjAH9eGdlRPar75-vLX999vUOBfB4GXEuP3XL_CwEGicb0BNwvBBWH9NDr6vU6WlFqPKs0xjfGSqBbDLvgrA-zDHs_RCDOqgH7JVIWM_uHYrsVru9Xgt5YUO_9cXeehXt1oeclyHd-B29HlTKc9Ru7Cjuvuwd5p_Kl-H46m6QxtWbr2qe3SadwUkM6WdtXRzU8XqE4QkClefkTVGBLtdmf4EIGrSd91X5AxD2B-fPR5dpLF6gpZwxXXmfdN2Whva_o12rZS1VXhnStQebc1erF0apdMmeBO1L7ggoncYteK541jpeUPYbdbd-4RpLpCF52J1oVVJGYrXzJfaOtU6wWavwSeD4Q03_okGiYEH1Iaor2JtE_gLVF524dSX4cb682ZiZJkmFatZKxWpc2F5CgJVjHXFLqWdKRBJnAQefT3XchQzXAaL4hnhsCEpGpsPIGAH0FJsMy0ZEVIuV8mMBn1RJFrRs2Hkev_-JzJAAkzANug_lQSw1RZ4ER7dGwHGYCXgBrhZkSQcUu3Woac4Og48lLrx__95BPYp7n3q0sT2D3fXLin6G-d18-CKP0BgKkgNg priority: 102 providerName: Scholars Portal |
Title | A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury |
URI | https://search.emarefa.net/detail/BIM-1135907 https://dx.doi.org/10.1155/2019/2895439 https://www.ncbi.nlm.nih.gov/pubmed/31355016 https://www.proquest.com/docview/2257528752 https://pubmed.ncbi.nlm.nih.gov/PMC6633699 https://doaj.org/article/097d500b76a1453eada70ec29b511085 |
Volume | 2019 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnR1db9Mw8LQNMe0F8TkCpcrDEE9ZndiO48eu6ihInarBpLxFjmOvRSydxib-PmfXKQ1CQuLFUmLnw_d99t0Z4ERJgUZCkyYZCr6E0YYnSnKDwtAqwVRRF8ZX-7zIZ1fsc8nLPeBdLowP2tf16rT9fnParpY-tvL2Ro-6OLHRYj5BLUlzKUf7sC8o3XHRN-KXuyp67lA5ItE1YkXZBbxzjr5-KkfoZHBUxEdwSFPUt8Qddr6jlXzxfp-hq_BabYX146Vzk3-u_maM_hlTuaOkzp_Ck2BdxuPNLJ7Bnmmfw-E87J-_gOk4nqDaitc2Vm08Dvv_8WSpVq27-eUBJQfSXoyXC5SCvqZue40POTrS8af2G-LgJVydT79OZkk4SCHRVFCZWKtzLa2q3S5o03BRF5k1JkM53dRosLoEXae1GDWsthllhKUKhxY01Ybkir6Cg3bdmtcQywKtccIa4xeMiCpsTmwmlRGNZajpInjfAbK63dTLqLyfwXnlYF8F2Edw5qC8HeOqXPsb67vrKuC6IlI0nJBa5CplnCLRK0GMzmTNXfYCj-A44Oj3txCh6O9H8MHhrHJciqDSKiQb4CRcvatqnJPMV9fPIxj0RiJ36V73ScD6P6Yz6EiiCkLgR4WiUnD0SHmGP7qhju1LOsKLQPTopgeQfg9ygy__Haj_zX8_-RaO3L9vFpIGcHB_92DeoWl1Xw-RoUoxhEdn04vF5dAvUGD7sUyxnbMC28tZOfQM9wuWqiBm |
link.rule.ids | 230,315,733,786,790,869,870,883,884,891,2115,2236,4043,12083,21416,24346,27954,27955,27956,31752,33777,43343,43838,53825,53827,74100,74657 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1Lb9QwEB5BEY8L4lUILJBDEaeoTmzH8Qktq1ZbaCskWmlvlhPb3eWQLX2Iv8-M17ttEIJjEu_GGX-e-WZszwDsWK2QJLiyqFDxFYI7WVgtPSrDYJWwTdv4mO3zuJ6eii8zOUsBt8u0rXKtE6OidsuOYuS7iDslkd7L6tP5z4KqRtHqaiqhcRfuCc4F4VzN1CbGguaVEupRfTmm0UsSzWy9911KdPtLvYv-hhRUKfyWVYrJ--MJXYvXdqOs78_JTf61-BsZ_XNP5S0jtf8EHid2mY9XcHgKd3z_DB4cpfXz57A3zidotvJlyG2fj9P6fz6Z20VPN79fo-ZA7OV4-Q21YMyp25_hjwhHXX7Q_8AxeAGn-3snk2mRCikUHVdcFyF0daeDbWkV1Dmp2qYK3leop12LhJUO6JLVEtyLNlRcMFFabNrwsvOstnwbtvpl719Brhtk40w4HwNGzDahZqHS1isXBFq6DD6sBWnOV_kyTPQzpDQkcJMEnsFnkvKmDWW5jjeWF2cmTRrDtHKSsVbVthSSI-itYr6rdCvp9ILM4GUao5t3lVyiv5_BRxozQ7MURdXZdNgAP4LyXZlxzaqYXb_OYDRoibOrGzzeSaP-n88ZrSFhkhK4NDeQxY6u0LH5E479lEi3M1AD3AwEMnzSL-Yx_TdyRF5r_frfr3wPD6cnR4fm8OD46xt4RJ1dRY5GsHV1ce3fIpe6at_FCfMbGwkT_g |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwhV1Lb9QwEB5BERUXxJvAAj4UcYrWie04PqFl6arlUVWCSnuznMTuLods6UP8fWa83m2DEByTOIk9nsc39ngGYM8ZjSChK_ISFV8uRadyZ5RHZRiclq5uah-zfR5VByfy01zNU_zTRQqr3OjEqKi7VUtr5GPkO60Q3qtyHFJYxPHH2fuznzlVkKKd1lRO4zbcQSvJqYyDnuvteguaWkquR7XmuEGPSdbzTRy8UmM0g2aMvoeSVDX8hoWKifzjaV2H126ruO8uyGX-tfwbMP0zvvKGwZo9gPsJabLJmjUewi3fP4Ldr2kv_THsT9gUTRhbBeZ6NkmxAGy6cMuebn67Qi2CfMjw8hg1Ysyv25_iS8RTLTvsf-B8PIGT2f736UGeiirkrdDC5CG0VWuCa2hHtOuUbuoyeF-izu4aBK90WJcsmBReNqEUksvCYdNaFK3nlRNPYadf9f45MFMjMuey83HxiLs6VDyUxnndBYlWL4O3G0Las3XuDBt9DqUsEdwmgmfwgai8bUMZr-ON1fmpTQJkudGd4rzRlSukEigATnPflqZRdJJBZfAszdH1vwqh0PfP4B3NmSWJRVK1Lh08wEFQ7is7qXgZM-1XGYwGLVHS2sHjvTTr_xnOaMMSNimEC3vNvtjRNXdsPyKwnwqhdwZ6wDcDggyf9MtFTAWOeFFUxrz49y_fwC7Kiv1yePT5Jdyjvq4XkUawc3l-5V8hrLpsXkd5-Q1vTRgq |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+Case+of+an+Advanced+Chain+of+Survival+in+Penetrating+Cardiac+Injury&rft.jtitle=Case+reports+in+emergency+medicine&rft.au=Andersen%2C+Mads+J%C3%B8nsson&rft.au=De+Paoli%2C+Frank+V.&rft.au=M%C3%A6rkedahl%2C+Rikke&rft.au=Jepsen%2C+S%C3%B8ren+Vad&rft.date=2019&rft.pub=Hindawi&rft.issn=2090-648X&rft.eissn=2090-6498&rft.volume=2019&rft_id=info:doi/10.1155%2F2019%2F2895439&rft_id=info%3Apmid%2F31355016&rft.externalDBID=PMC6633699 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2090-648X&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2090-648X&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2090-648X&client=summon |