Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician

Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician

We report a case of a 52-year-old man who presented to the emergency department (ED) in extremis (hypotensive with an altered sensorium) with subsequent cardiac arrest after a motor vehicle collision. The initial trauma evaluation did not reveal a source of the hemodynamic compromise. A point-of-car...

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Main Authors: Benjamin Thomas, Edward Durant, Sophie Barbant, Arun Nagdev
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2017-05-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/65g767z6
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spelling doaj-945627a6d9a74663b4d7651fde3904702020-11-24T23:03:46ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2017-05-011310.5811/cpcem.2017.2.33021cpcem-01-194Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency PhysicianBenjamin Thomas0Edward Durant1Sophie Barbant2Arun Nagdev3Highland General Hospital, Department of Emergency Medicine, Oakland, CaliforniaHighland General Hospital, Department of Emergency Medicine, Oakland, CaliforniaHighland General Hospital, Department of Cardiology, Oakland, CaliforniaHighland General Hospital, Department of Emergency Medicine, Oakland, CaliforniaWe report a case of a 52-year-old man who presented to the emergency department (ED) in extremis (hypotensive with an altered sensorium) with subsequent cardiac arrest after a motor vehicle collision. The initial trauma evaluation did not reveal a source of the hemodynamic compromise. A point-of-care ultrasound revealed severe mitral regurgitation secondary to an anterolateral papillary muscle rupture. Patient underwent successful emergent mitral valve replacement after initial resuscitative efforts and intraaortic balloon pump placement.https://escholarship.org/uc/item/65g767z6
collection DOAJ
language English
format Article
sources DOAJ
author Benjamin Thomas
Edward Durant
Sophie Barbant
Arun Nagdev
spellingShingle Benjamin Thomas
Edward Durant
Sophie Barbant
Arun Nagdev
Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician
Clinical Practice and Cases in Emergency Medicine
author_facet Benjamin Thomas
Edward Durant
Sophie Barbant
Arun Nagdev
author_sort Benjamin Thomas
title Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician
title_short Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician
title_full Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician
title_fullStr Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician
title_full_unstemmed Repeat Point-of-Care Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the Emergency Physician
title_sort repeat point-of-care echocardiographic evaluation of traumatic cardiac arrest: a new paradigm for the emergency physician
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2017-05-01
description We report a case of a 52-year-old man who presented to the emergency department (ED) in extremis (hypotensive with an altered sensorium) with subsequent cardiac arrest after a motor vehicle collision. The initial trauma evaluation did not reveal a source of the hemodynamic compromise. A point-of-care ultrasound revealed severe mitral regurgitation secondary to an anterolateral papillary muscle rupture. Patient underwent successful emergent mitral valve replacement after initial resuscitative efforts and intraaortic balloon pump placement.
url https://escholarship.org/uc/item/65g767z6
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AT sophiebarbant repeatpointofcareechocardiographicevaluationoftraumaticcardiacarrestanewparadigmfortheemergencyphysician
AT arunnagdev repeatpointofcareechocardiographicevaluationoftraumaticcardiacarrestanewparadigmfortheemergencyphysician
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