Prehospital mechanical ventilation of a critical cardiac tamponade

Mechanical ventilation of a critical cardiac tamponade is a high-risk situation that can lead to asystolic cardiac arrest. We report a prehospital mechanical ventilation of a penetrating cardiac injury complicated with tamponade. Onset diagnosis of the circulatory arrest allowed by prehospital conti...

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Bibliographic Details
Published in:The American journal of emergency medicine 2009-10, Vol.27 (8), p.1020.e1-1020.e3
Main Authors: Barthélémy, Romain, MD, Bounes, Vincent, MD, Minville, Vincent, MD, Houze-Cerfon, Charles-Henri, MD, Ducassé, Jean-Louis, MD
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Blood pressure
Cardiac arrest
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Electrocardiography
Emergency
Emergency medical care
Emergency Treatment
Heart
Hemodynamics
Humans
Injuries
Intubation
Male
Respiration, Artificial - methods
Respiratory failure
Stabbings
Trauma
Ultrasonic imaging
Ventilators
Wounds, Stab - complications
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Summary:Mechanical ventilation of a critical cardiac tamponade is a high-risk situation that can lead to asystolic cardiac arrest. We report a prehospital mechanical ventilation of a penetrating cardiac injury complicated with tamponade. Onset diagnosis of the circulatory arrest allowed by prehospital continuous ultrasonography led to earlier initiation of the resuscitation and might have favored successful outcome. Electrocardiographic signs are too late to diagnose circulatory arrest.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2008.12.024