Supporting the early use of echocardiography in blunt chest trauma
This case reports a very unusual mechanism of cardiac rupture following an episode of multiple blunt chest trauma. The patient, a professional jockey, was trampled by horses, and although shocked on hospital admission, he did not present with signs and symptoms that were consistent with cardiogenic...
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Springer
2012
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480865/ |
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pubmed-34808652012-10-26 Supporting the early use of echocardiography in blunt chest trauma Jennings, Scott B Rice, Jonathan Case Report This case reports a very unusual mechanism of cardiac rupture following an episode of multiple blunt chest trauma. The patient, a professional jockey, was trampled by horses, and although shocked on hospital admission, he did not present with signs and symptoms that were consistent with cardiogenic shock. This case highlights the difficult and subjective nature of clinical examination in emergency situations when dealing with cases of acute cardiac tamponade. It further emphasises the lack of sensitivity of traditional trauma imaging and investigative approaches such as the standard anteroposterior chest X-ray and electrocardiogram. The diagnosis of acute cardiac tamponade was not made until tertiary-care-centre arrival, when ultrasound technology in the form of bedside echocardiography was used, facilitating emergency surgery to repair a ruptured left ventricle. It is hoped that the sharing of this case will alert fellow clinicians to this uncommon but possible mechanism of cardiac rupture and subsequent tamponade, encourage the early use of echocardiography at the bedside in hypotensive blunt chest trauma cases and reinforce the principles of the Advanced Trauma Life Support course in treating trauma victims. Springer 2012-05-03 /pmc/articles/PMC3480865/ /pubmed/22870886 http://dx.doi.org/10.1186/2036-7902-4-7 Text en Copyright ©2012 Jennings and Rice; licensee Springer. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Jennings, Scott B Rice, Jonathan |
| spellingShingle |
Jennings, Scott B Rice, Jonathan Supporting the early use of echocardiography in blunt chest trauma |
| author_facet |
Jennings, Scott B Rice, Jonathan |
| author_sort |
Jennings, Scott B |
| title |
Supporting the early use of echocardiography in blunt chest trauma |
| title_short |
Supporting the early use of echocardiography in blunt chest trauma |
| title_full |
Supporting the early use of echocardiography in blunt chest trauma |
| title_fullStr |
Supporting the early use of echocardiography in blunt chest trauma |
| title_full_unstemmed |
Supporting the early use of echocardiography in blunt chest trauma |
| title_sort |
supporting the early use of echocardiography in blunt chest trauma |
| description |
This case reports a very unusual mechanism of cardiac rupture following an episode of multiple blunt chest trauma. The patient, a professional jockey, was trampled by horses, and although shocked on hospital admission, he did not present with signs and symptoms that were consistent with cardiogenic shock. This case highlights the difficult and subjective nature of clinical examination in emergency situations when dealing with cases of acute cardiac tamponade. It further emphasises the lack of sensitivity of traditional trauma imaging and investigative approaches such as the standard anteroposterior chest X-ray and electrocardiogram. The diagnosis of acute cardiac tamponade was not made until tertiary-care-centre arrival, when ultrasound technology in the form of bedside echocardiography was used, facilitating emergency surgery to repair a ruptured left ventricle. It is hoped that the sharing of this case will alert fellow clinicians to this uncommon but possible mechanism of cardiac rupture and subsequent tamponade, encourage the early use of echocardiography at the bedside in hypotensive blunt chest trauma cases and reinforce the principles of the Advanced Trauma Life Support course in treating trauma victims. |
| publisher |
Springer |
| publishDate |
2012 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480865/ |
| _version_ |
1611918792731918336 |