Point-of-care ultrasound after attempted suicidal hanging - 04/05/21
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Abstract |
Focused cardiac ultrasound (FoCUS) can provide critical information quickly to determine the etiology after cardiac arrest and may expedite a diagnosis in order to identify underlying treatable causes. We present a case of reversible acute left ventricular dysfunction after cardiopulmonary resuscitation following attempted suicide by hanging presenting with severe hypoxemia. FoCUS revealed findings consistent with severe left ventricular dysfunction, and point-of-care ultrasound (PoCUS) ruled out pneumothorax. These findings, in conjunction with the clinical presentation, facilitated an early identification and rapid evaluation of cardiogenic shock; furthermore, they led to the use of FoCUS, which can provide critical information quickly on site for a patient who is suddenly symptomatic after severe mechanical asphyxia in the pediatric emergency department, pediatric intensive care unit, or the prehospital setting.
Le texte complet de cet article est disponible en PDF.Keywords : Focused cardiac ultrasound, Point-of-care ultrasound, Suicidal hanging, Cardiopulmonary resuscitation, Left ventricular dysfunction
Plan
Vol 28 - N° 4
P. 342-344 - mai 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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