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Arrow to the Chest

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 operati...

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Detalles Bibliográficos
Autores principales: Wangdi, Sherab, LeVine, Shankar, Watts, Melanie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861027/
https://www.ncbi.nlm.nih.gov/pubmed/31763579
http://dx.doi.org/10.5811/cpcem.2019.9.43991
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author Wangdi, Sherab
LeVine, Shankar
Watts, Melanie
author_facet Wangdi, Sherab
LeVine, Shankar
Watts, Melanie
author_sort Wangdi, Sherab
collection PubMed
description 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.
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spelling pubmed-68610272019-11-22 Arrow to the Chest Wangdi, Sherab LeVine, Shankar Watts, Melanie Clin Pract Cases Emerg Med Astonishing Cases and Images in Emergency Medicine 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2019-10-21 /pmc/articles/PMC6861027/ /pubmed/31763579 http://dx.doi.org/10.5811/cpcem.2019.9.43991 Text en Copyright: © 2019 Wangdi et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Astonishing Cases and Images in Emergency Medicine
Wangdi, Sherab
LeVine, Shankar
Watts, Melanie
Arrow to the Chest
title Arrow to the Chest
title_full Arrow to the Chest
title_fullStr Arrow to the Chest
title_full_unstemmed Arrow to the Chest
title_short Arrow to the Chest
title_sort arrow to the chest
topic Astonishing Cases and Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861027/
https://www.ncbi.nlm.nih.gov/pubmed/31763579
http://dx.doi.org/10.5811/cpcem.2019.9.43991
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