Traumatic Cardiac Tamponade – Relearning Old Lesions to Avoid Delay in Diagnosis and Management of a Life-Threatening Thoracic Injury
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 2
Abstract
Cardiac tamponade is a lifethreatening condition due to abnormal collection of fluid in the pericardial sac causing hemodynamic instability. In trauma it is blood that gets collected in the sac, most commonly due to penetrating chest injuries or less commonly, blunt chest trauma. If this is not diagnosed and intervened timely, this can be rapidly fatal. We are reporting a case of 35 years old male who was involved in a road traffic accident (RTA). He sustained steering wheel injury on his chest and was taken to multiple hospitals where he was managed only conservatively due to missed diagnosis, before presenting to our ED (Emergency Department). He was here diagnosed with cardiac tamponade with obstructive shock and was urgently taken to operation theatre (OT) for pericardial decompression and was saved.
Authors and Affiliations
Sarat Kumar Naidu
Evaluation of the Severity of Organophosphorus Compound Poisoning and Forecasting the Need for Ventilatory Support
Background and Aim: Organophosphates irreversibly inhibit the enzyme acetyl cholinesterase, leading to accumulation of acetylcholine at synapses and myoneural junctions. Present study was done with an aim to assess the s...
A Study of Initial Assessment of Emergency Patients Using REMS Score and HOTEL Score
Aims: To assess the prognostic values and predicting in-hospital mortality of patients admitted to ED by Rapid Emergency Medicine Score (REMS) and Hypotension, oxygenation, temperature, ECG abnormality, loss of independe...
Tetanus Prevention Knowledge and Practices in Doctors of a Tertiary Care Centre of India
Introduction: The most important risk factor for the development of tetanus is lack of immunization. In taking care of wounds suspected of tetanus and use of prophylaxis for it, a history of patient’s vaccination is very...
Outcome of Patients with Acute Poisoning Treated with Gastric Lavage
Background: Acute poisoning is a medical emergency and preventable cause of morbidity and Mortality. Gastric lavage (GL) is one of the most commonly used decontamination method for poisoning in developing countries despi...
Carcinoma Prostate with Metastasis to Vertebral Column and Right Cerebellum Causing Sol and Hydrocephalus
A patient Mr. Satya Narain Chauhan, 67 yrs old male, diagnosed case of DM, Ca prostate presented with complaints of urinary retention and slurring of speech. On examination Mr. Chauhan is having left lower limb weaknessn...