Variability of extracorporeal cardiopulmonary resuscitation practice in patients with out-of-hospital cardiac arrest from the emergency department to intensive care unit in Japan.

Aim: A lack of known guidelines for the provision of extracorporeal cardiopulmonary resuscitation (ECPR) to patients with out-of-hospital cardiac arrest (OHCA) has led to variability in practice between hospitals even in the same country. Because variability in ECPR practice has not been completely examined, we aimed to describe the variability in ECPR practice in patients with OHCA from the emergency department (ED) to the intensive care units (ICU).

Methods: An anonymous online questionnaire to examine variability in ECPR practice was completed in January 2020 by 36 medical institutions who participated in the SAVE-J II study.

Combination of blunt cardiac and pericardial injury presenting a massive hemothorax without hemopericardium.

Case: A 64-year-old man was injured after falling from a height of 5 m and was transported to our institution. On presentation, his hemodynamic state was unstable, and both focused assessment with sonography for trauma and enhanced computed tomography imaging revealed massive left pleural effusion, but no pericardial effusion. He went into cardiopulmonary arrest just before surgery, so an urgent left anterolateral thoracotomy followed by open chest cardiac massage and aortic clamping were carried out.

The investigation of posttraumatic pseudoaneurysms in patients treated with nonoperative management for blunt abdominal solid organ injuries.

Background: Posttraumatic pseudoaneurysms (PAs) have been recognized as the cause of delayed hemorrhage complicated with nonoperative management (NOM), although the need for intervention in patients with small-sized PAs and the relationship between the occurrence of PAs and bed-rest has been also unclear.

Objectives: The purpose of this study was to investigate the clinical history of small-sized PAs (less than 10 mm in diameter) which occurred in abdominal solid organs, and to analyze the relationship between the occurrence of PAs and early mobilization from bed.

Methods: Sixty-two patients who were successfully managed with NOM were investigated.

Retrievable Inferior Vena Cava Filter and Catheter Directed Thrombolysis (CDT) for Treating a 19-year-old Man with Acute Myeloid Leukemia Complicated by Deep Vein Thrombosis (DVT): A Case Report.

Here, we report a case of a 19-year-old man with acute myeloid leukemia complicated by deep vein thrombosis (DVT) in which we placed a retrievable inferior vena cava (IVC) filter during catheter directed thrombolysis (CDT). We were able to retrieve the IVC filter after a successful CDT and concluded that the use of this filter might be efficacious and better than an indwelling IVC filter that is associated with long-term risks. A retrievable filter and CDT should be considered in patients who are at transient risk for phlebemphraxis and require placement of a filter.

Therapeutic hypothermia with immunosuppressive drugs for a comatose renal transplant patient who survived out-of-hospital cardiac arrest.

A 31-year-old man suddenly collapsed at work. His colleagues witnessed the event, applied basic life support, and called for an ambulance. After the ambulance arrived, the initial rhythm was confirmed as ventricular fibrillation (VF) and he was defibrillated with an automated external defibrillator.