Prehospital ultrasound detects pericardial tamponade in a pregnant victim of stabbing assault

被引：41
作者：
Byhahn, Christian [1 ]
Bingold, Tobias M. [1 ]
Zwissler, Bernhard [1 ]
Maier, Marcus [2 ]
Walcher, Felix [2 ]
机构：
[1] Univ Frankfurt, Sch Med, Dept Anaesthesiol intens Care Med & Pain Therapy, Frankfurt, Germany
[2] Univ Frankfurt, Sch Med, Dept Trauma Surg, Frankfurt, Germany
来源：
RESUSCITATION | 2008年 / 76卷 / 01期
关键词：
pericardial; tamponade; emergency; treatment; trauma;
D O I：
10.1016/j.resuscitation.2007.07.020
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
The development of handheld, portable ultrasound devices has enabled the use of this diagnostic tool. also in the out-of-hospital environment. We report on a pregnant teenager who was found haemodynamically unstable after a stab assault. When she suffered cardiac arrest shortly thereafter, diagnosis of cardiac tamponade was made by portable ultrasound, and immediate pericardiocentesis was performed by the emergency physician. White her baby died after emergency Caesarean section, the teenager survived after thoracotomy and prolonged resuscitation without neurological sequelae. (c) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：146 / 148
页数：3
相关论文
共 11 条
  • [1] IMMEDIATE VERSUS DELAYED FLUID RESUSCITATION FOR HYPOTENSIVE PATIENTS WITH PENETRATING TORSO INJURIES
    BICKELL, WH
    WALL, MJ
    PEPE, PE
    MARTIN, RR
    GINGER, VF
    ALLEN, MK
    MATTOX, KL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (17) : 1105 - 1109
  • [2] Byhahn C, 2006, ANESTHESIOLOGY, V105, pA1735
  • [3] CRAWFORD R, 1997, J ACCID EMERG MED, V24, P252
  • [4] Institutional and individual learning curves for focused abdominal ultrasound for trauma - Cumulative sum analysis
    McCarter, FD
    Luchette, FA
    Molloy, M
    Hurst, JM
    Davis, K
    Johannigman, JA
    Frame, SB
    Fischer, JE
    [J]. ANNALS OF SURGERY, 2000, 231 (05) : 689 - 697
  • [5] European Resuscitation Council Guidelines for Resuscitation 2005 -: Section 4.: Adult advanced life support
    Nolan, JP
    Deakin, CD
    Soar, J
    Böttiger, BW
    Smith, G
    [J]. RESUSCITATION, 2005, 67 : S39 - S86
  • [6] Focused abdominal sonogram for trauma: The learning curve of nonradiologist clinicians in detecting hemoperitoneum
    Shackford, SR
    Rogers, FB
    Osler, TM
    Trabulsy, ME
    Clauss, DW
    Vane, DW
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1999, 46 (04) : 553 - 562
  • [7] Tisherman SA, 1997, CURR OPIN CRIT CARE, V3, P448
  • [8] TURNER JAT, 1990, NURS CLIN N AM, V25, P119
  • [9] Prehospital ultrasound imaging improves management of abdominal trauma
    Walcher, F
    Weinlich, M
    Conrad, G
    Schweigkofler, U
    Breitkreutz, R
    Kirschning, T
    Marzil, I
    [J]. BRITISH JOURNAL OF SURGERY, 2006, 93 (02) : 238 - 242
  • [10] Optimized management of polytraumatized patients by prehospital ultrasound
    Walcher, F
    Kortüm, S
    Kirschning, T
    Weihgold, N
    Marzi, I
    [J]. UNFALLCHIRURG, 2002, 105 (11): : 986 - 994
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