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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2019
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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. |
format | Online Article Text |
id | pubmed-6861027 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT wangdisherab arrowtothechest AT levineshankar arrowtothechest AT wattsmelanie arrowtothechest |