A 33-year-old male was brought to the emergency department after a penetrating arrow injury to the chest. Initial evaluation revealed the arrow was penetrating the sternum, lung, and aortic arch. Because the patient was in a remote area, timely transfer to a specialized center for definitive operative repair was delayed approximately 24 hours. Treatment was focused on minimizing risk of hemorrhage with tight blood pressure control, while tube thoracostomy was deferred to avoid a change in intrathoracic pressure. The left-sided hemothorax was monitored with serial point-of-care ultrasounds. Ultimately he was successfully transferred and underwent successful surgical intervention.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861027 | PMC |
| http://dx.doi.org/10.5811/cpcem.2019.9.43991 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Porcelain Aorta: Time to Recognize.
J Assoc Physicians India
February 2025
Honorary Cardiologist, Department of Cardiology, Bombay Hospital & Medical Research Center, Mumbai, Maharashtra, India.
A 54-year-old female was evaluated in 2012 for management of hypertension and dyslipidemia. Clinical examination was unremarkable except for blood pressure (BP) 160/90 mm Hg and a grade 2/6 ejection systolic murmur along the left sternal border. A skiagram of the chest (posterior-anterior view) revealed a cardiothoracic ratio (CTR) of 0.
View Article and Find Full Text PDFFetal Safety in MRI During Pregnancy: A Comprehensive Review.
Diagnostics (Basel)
January 2025
Arrow Program for Medical Research Education, Sheba Medical Center, Tel Hashomer, Ramat Gan 52621, Israel.
As medical imaging continues to expand, concerns about the potential risks of ionizing radiation to the developing fetus have led to a preference for non-radiation-based alternatives such as ultrasonography and fetal MRI. This review examines the current evidence on the safety of MRI during pregnancy, with a focus on 3 T MRI and contrast agents, aiming to provide a comprehensive synthesis that informs clinical decision-making, ensures fetal safety and supports the safe use of all available modalities that could impact management. We conducted a comprehensive review of studies from 2000 to 2024 on MRI safety during pregnancy, focusing on 3 T MRI and gadolinium use.
View Article and Find Full Text PDFChest Radiography Pearls in Select Adult Congenital Heart Disease.
J Pers Med
April 2024
Department of Cardiovascular Diseases, Mayo Clinic, Phoenix, AZ 85054, USA.
Congenital heart disease in adult patients (ACHD) includes individuals with native anatomic deformities and those who have benefited from corrective, ameliorative, or interventional heart and vascular interventions. Congenital heart disease is the most common birth defect, although with interventions most survive into adulthood. Newborns and children with complex congenital heart diseases that feature cyanosis fail to thrive, and once this is identified, heart failure can promptly undergo diagnostic evaluations and treatment.
View Article and Find Full Text PDFCrossbow Injuries: Predictors of Mortality.
Wilderness Environ Med
June 2024
Department of Surgery, Division of Emergency Medicine, Saint Louis University School of Medicine, St. Louis, MO.
Introduction: Crossbow injuries are rare but carry significant morbidity and mortality, and there is limited evidence in the medical literature to guide care. This paper reviews the case reports and case series of crossbow injuries and looks for trends regarding morbidity and mortality based on the type of arrow, anatomic location of injury, and intent of injury.
Methods: Multiple databases were searched for cases of crossbow injuries and data were abstracted into a spreadsheet.
No cupid, just an arrow: a penetrating injury into the interventricular septum.
J Cardiothorac Surg
February 2024
Department of Cardiac Surgery, Heart and Lung Center, Helsinki University Hospital, Haartmaninkatu 4, Helsinki, 00290, Finland.
Background: Penetrating cardiac injuries are rare but often fatal, with 16-55% mortality. We report a patient who suffered a non-fatal occupational cardiac injury.
Case Presentation: A 47-year-old man was operating an ironworker machine.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!