A patient with refractory shock induced by several factors, including obstruction because of a posterior mediastinal hematoma
A 44-year-old man who drove a motorcycle experienced a collision with the side of another motorcycle. Because he had sustained a high-energy injury to the spinal cord, he was transferred to our hospital. His circulation was unstable, and received tracheal intubation in addition to thoracostomy for t...
Gespeichert in:
| Veröffentlicht in: | The American journal of emergency medicine 2015-06, Vol.33 (6), p.859.e1-859.e2 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 859.e2 |
|---|---|
| container_issue | 6 |
| container_start_page | 859.e1 |
| container_title | The American journal of emergency medicine |
| container_volume | 33 |
| creator | Obinata, Mariko, MD Ishikawa, Kouhei, MD Osaka, Hiromichi, MD, PhD Mishima, Kentaro, MD Omori, Kazuhiko, MD, PhD Oode, Yasumasa, MD Yanagawa, Youichi, MD, PhD |
| description | A 44-year-old man who drove a motorcycle experienced a collision with the side of another motorcycle. Because he had sustained a high-energy injury to the spinal cord, he was transferred to our hospital. His circulation was unstable, and received tracheal intubation in addition to thoracostomy for the hemothorax. Whole-body computed tomography (CT) revealed multiple fractures, right hemopneumothorax with pulmonary contusion, and minor liver injury. After infusing 5000 mL of lactated Ringer's solution and 10 units of blood, his circulation remained unstable. On a repeat CT examination, the left atrium was found to be compressed by a posterior mediastinal hematoma induced by the fracture of the thoracic spine, and a diagnosis of shock induced by multiple factors, including hemorrhagic, neurogenic, and obstructive mechanisms, was made. After obtaining stable circulation and respirations, internal fixation of the extremities and extubation were performed on the 12th hospital day. Chest CT performed on the 27th day showed the disappearance of compression of the left atrium by the hematoma. |
| doi_str_mv | 10.1016/j.ajem.2014.12.027 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1686422085</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0735675714009292</els_id><sourcerecordid>3700976201</sourcerecordid><originalsourceid>FETCH-LOGICAL-c579t-b28697e061c39439373598c9aaea33e1c2128a720f8888f63a5a49bc90ec04d3</originalsourceid><addsrcrecordid>eNp9kk1rFTEYhYMo9rb6B1xIwI2LzjWfkwlIoRS_oODC7kMm844305nJNclU7sL_bqa3KnRhNoHkOYe85wShV5RsKaH1u2FrB5i2jFCxpWxLmHqCNlRyVjVU0adoQxSXVa2kOkGnKQ2EUCqkeI5OmJSK1aLeoF-XeG-zhznjnz7vcIQ-WpdDPOC0C-4W-7lbHHS4LQdwB9GOuL8H0nm5c-PS-fk7Dm3KcXHZhxm34OySAIceW7wPKUP0IeIJOm9T9nNx2MFkc5jsC_Sst2OClw_7Gbr5-OHm6nN1_fXTl6vL68pJpXPVsqbWCkhNHdeCa17m0o3T1oLlHKhjlDVWMdI3ZfU1t9IK3TpNwBHR8TP09mi7j-HHAimbyScH42hnCEsytG5qwRhpZEHfPEKHsMTy5ntKCElVwwvFjpSLIaWSmdlHP9l4MJSYtRszmLUbs3ZjKDOlmyJ6_WC9tCWMv5I_ZRTg_RGAEsWdh2iSK82U9H0El00X_P_9Lx7J3ehn7-x4CwdI_-YwqQjMt_V3rJ-DCkI004z_Br63tac</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1684451783</pqid></control><display><type>article</type><title>A patient with refractory shock induced by several factors, including obstruction because of a posterior mediastinal hematoma</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>Obinata, Mariko, MD ; Ishikawa, Kouhei, MD ; Osaka, Hiromichi, MD, PhD ; Mishima, Kentaro, MD ; Omori, Kazuhiko, MD, PhD ; Oode, Yasumasa, MD ; Yanagawa, Youichi, MD, PhD</creator><creatorcontrib>Obinata, Mariko, MD ; Ishikawa, Kouhei, MD ; Osaka, Hiromichi, MD, PhD ; Mishima, Kentaro, MD ; Omori, Kazuhiko, MD, PhD ; Oode, Yasumasa, MD ; Yanagawa, Youichi, MD, PhD</creatorcontrib><description>A 44-year-old man who drove a motorcycle experienced a collision with the side of another motorcycle. Because he had sustained a high-energy injury to the spinal cord, he was transferred to our hospital. His circulation was unstable, and received tracheal intubation in addition to thoracostomy for the hemothorax. Whole-body computed tomography (CT) revealed multiple fractures, right hemopneumothorax with pulmonary contusion, and minor liver injury. After infusing 5000 mL of lactated Ringer's solution and 10 units of blood, his circulation remained unstable. On a repeat CT examination, the left atrium was found to be compressed by a posterior mediastinal hematoma induced by the fracture of the thoracic spine, and a diagnosis of shock induced by multiple factors, including hemorrhagic, neurogenic, and obstructive mechanisms, was made. After obtaining stable circulation and respirations, internal fixation of the extremities and extubation were performed on the 12th hospital day. Chest CT performed on the 27th day showed the disappearance of compression of the left atrium by the hematoma.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2014.12.027</identifier><identifier>PMID: 25572646</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accidents, Traffic ; Adult ; Emergency ; Emergency medical care ; Hematoma - diagnostic imaging ; Hematoma - etiology ; Hematoma - surgery ; Humans ; Injuries ; Intubation ; Male ; Mediastinal Diseases - diagnostic imaging ; Mediastinal Diseases - etiology ; Mediastinal Diseases - surgery ; Motorcycles ; Multiple Trauma - diagnostic imaging ; Multiple Trauma - surgery ; Ostomy ; Risk Factors ; Shock - etiology ; Spinal cord ; Spinal Fractures - complications ; Spinal Fractures - diagnostic imaging ; Spinal Fractures - surgery ; Tomography ; Tomography, X-Ray Computed</subject><ispartof>The American journal of emergency medicine, 2015-06, Vol.33 (6), p.859.e1-859.e2</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright Elsevier Limited 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-b28697e061c39439373598c9aaea33e1c2128a720f8888f63a5a49bc90ec04d3</citedby><cites>FETCH-LOGICAL-c579t-b28697e061c39439373598c9aaea33e1c2128a720f8888f63a5a49bc90ec04d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1684451783?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25572646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obinata, Mariko, MD</creatorcontrib><creatorcontrib>Ishikawa, Kouhei, MD</creatorcontrib><creatorcontrib>Osaka, Hiromichi, MD, PhD</creatorcontrib><creatorcontrib>Mishima, Kentaro, MD</creatorcontrib><creatorcontrib>Omori, Kazuhiko, MD, PhD</creatorcontrib><creatorcontrib>Oode, Yasumasa, MD</creatorcontrib><creatorcontrib>Yanagawa, Youichi, MD, PhD</creatorcontrib><title>A patient with refractory shock induced by several factors, including obstruction because of a posterior mediastinal hematoma</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>A 44-year-old man who drove a motorcycle experienced a collision with the side of another motorcycle. Because he had sustained a high-energy injury to the spinal cord, he was transferred to our hospital. His circulation was unstable, and received tracheal intubation in addition to thoracostomy for the hemothorax. Whole-body computed tomography (CT) revealed multiple fractures, right hemopneumothorax with pulmonary contusion, and minor liver injury. After infusing 5000 mL of lactated Ringer's solution and 10 units of blood, his circulation remained unstable. On a repeat CT examination, the left atrium was found to be compressed by a posterior mediastinal hematoma induced by the fracture of the thoracic spine, and a diagnosis of shock induced by multiple factors, including hemorrhagic, neurogenic, and obstructive mechanisms, was made. After obtaining stable circulation and respirations, internal fixation of the extremities and extubation were performed on the 12th hospital day. Chest CT performed on the 27th day showed the disappearance of compression of the left atrium by the hematoma.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Hematoma - diagnostic imaging</subject><subject>Hematoma - etiology</subject><subject>Hematoma - surgery</subject><subject>Humans</subject><subject>Injuries</subject><subject>Intubation</subject><subject>Male</subject><subject>Mediastinal Diseases - diagnostic imaging</subject><subject>Mediastinal Diseases - etiology</subject><subject>Mediastinal Diseases - surgery</subject><subject>Motorcycles</subject><subject>Multiple Trauma - diagnostic imaging</subject><subject>Multiple Trauma - surgery</subject><subject>Ostomy</subject><subject>Risk Factors</subject><subject>Shock - etiology</subject><subject>Spinal cord</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - diagnostic imaging</subject><subject>Spinal Fractures - surgery</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kk1rFTEYhYMo9rb6B1xIwI2LzjWfkwlIoRS_oODC7kMm844305nJNclU7sL_bqa3KnRhNoHkOYe85wShV5RsKaH1u2FrB5i2jFCxpWxLmHqCNlRyVjVU0adoQxSXVa2kOkGnKQ2EUCqkeI5OmJSK1aLeoF-XeG-zhznjnz7vcIQ-WpdDPOC0C-4W-7lbHHS4LQdwB9GOuL8H0nm5c-PS-fk7Dm3KcXHZhxm34OySAIceW7wPKUP0IeIJOm9T9nNx2MFkc5jsC_Sst2OClw_7Gbr5-OHm6nN1_fXTl6vL68pJpXPVsqbWCkhNHdeCa17m0o3T1oLlHKhjlDVWMdI3ZfU1t9IK3TpNwBHR8TP09mi7j-HHAimbyScH42hnCEsytG5qwRhpZEHfPEKHsMTy5ntKCElVwwvFjpSLIaWSmdlHP9l4MJSYtRszmLUbs3ZjKDOlmyJ6_WC9tCWMv5I_ZRTg_RGAEsWdh2iSK82U9H0El00X_P_9Lx7J3ehn7-x4CwdI_-YwqQjMt_V3rJ-DCkI004z_Br63tac</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Obinata, Mariko, MD</creator><creator>Ishikawa, Kouhei, MD</creator><creator>Osaka, Hiromichi, MD, PhD</creator><creator>Mishima, Kentaro, MD</creator><creator>Omori, Kazuhiko, MD, PhD</creator><creator>Oode, Yasumasa, MD</creator><creator>Yanagawa, Youichi, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>A patient with refractory shock induced by several factors, including obstruction because of a posterior mediastinal hematoma</title><author>Obinata, Mariko, MD ; Ishikawa, Kouhei, MD ; Osaka, Hiromichi, MD, PhD ; Mishima, Kentaro, MD ; Omori, Kazuhiko, MD, PhD ; Oode, Yasumasa, MD ; Yanagawa, Youichi, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c579t-b28697e061c39439373598c9aaea33e1c2128a720f8888f63a5a49bc90ec04d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Hematoma - diagnostic imaging</topic><topic>Hematoma - etiology</topic><topic>Hematoma - surgery</topic><topic>Humans</topic><topic>Injuries</topic><topic>Intubation</topic><topic>Male</topic><topic>Mediastinal Diseases - diagnostic imaging</topic><topic>Mediastinal Diseases - etiology</topic><topic>Mediastinal Diseases - surgery</topic><topic>Motorcycles</topic><topic>Multiple Trauma - diagnostic imaging</topic><topic>Multiple Trauma - surgery</topic><topic>Ostomy</topic><topic>Risk Factors</topic><topic>Shock - etiology</topic><topic>Spinal cord</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - diagnostic imaging</topic><topic>Spinal Fractures - surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Obinata, Mariko, MD</creatorcontrib><creatorcontrib>Ishikawa, Kouhei, MD</creatorcontrib><creatorcontrib>Osaka, Hiromichi, MD, PhD</creatorcontrib><creatorcontrib>Mishima, Kentaro, MD</creatorcontrib><creatorcontrib>Omori, Kazuhiko, MD, PhD</creatorcontrib><creatorcontrib>Oode, Yasumasa, MD</creatorcontrib><creatorcontrib>Yanagawa, Youichi, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Obinata, Mariko, MD</au><au>Ishikawa, Kouhei, MD</au><au>Osaka, Hiromichi, MD, PhD</au><au>Mishima, Kentaro, MD</au><au>Omori, Kazuhiko, MD, PhD</au><au>Oode, Yasumasa, MD</au><au>Yanagawa, Youichi, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A patient with refractory shock induced by several factors, including obstruction because of a posterior mediastinal hematoma</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>33</volume><issue>6</issue><spage>859.e1</spage><epage>859.e2</epage><pages>859.e1-859.e2</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>A 44-year-old man who drove a motorcycle experienced a collision with the side of another motorcycle. Because he had sustained a high-energy injury to the spinal cord, he was transferred to our hospital. His circulation was unstable, and received tracheal intubation in addition to thoracostomy for the hemothorax. Whole-body computed tomography (CT) revealed multiple fractures, right hemopneumothorax with pulmonary contusion, and minor liver injury. After infusing 5000 mL of lactated Ringer's solution and 10 units of blood, his circulation remained unstable. On a repeat CT examination, the left atrium was found to be compressed by a posterior mediastinal hematoma induced by the fracture of the thoracic spine, and a diagnosis of shock induced by multiple factors, including hemorrhagic, neurogenic, and obstructive mechanisms, was made. After obtaining stable circulation and respirations, internal fixation of the extremities and extubation were performed on the 12th hospital day. Chest CT performed on the 27th day showed the disappearance of compression of the left atrium by the hematoma.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25572646</pmid><doi>10.1016/j.ajem.2014.12.027</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0735-6757 |
| ispartof | The American journal of emergency medicine, 2015-06, Vol.33 (6), p.859.e1-859.e2 |
| issn | 0735-6757 1532-8171 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1686422085 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Accidents, Traffic Adult Emergency Emergency medical care Hematoma - diagnostic imaging Hematoma - etiology Hematoma - surgery Humans Injuries Intubation Male Mediastinal Diseases - diagnostic imaging Mediastinal Diseases - etiology Mediastinal Diseases - surgery Motorcycles Multiple Trauma - diagnostic imaging Multiple Trauma - surgery Ostomy Risk Factors Shock - etiology Spinal cord Spinal Fractures - complications Spinal Fractures - diagnostic imaging Spinal Fractures - surgery Tomography Tomography, X-Ray Computed |
| title | A patient with refractory shock induced by several factors, including obstruction because of a posterior mediastinal hematoma |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T05%3A59%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20patient%20with%20refractory%20shock%20induced%20by%20several%20factors,%20including%20obstruction%20because%20of%20a%20posterior%20mediastinal%20hematoma&rft.jtitle=The%20American%20journal%20of%20emergency%20medicine&rft.au=Obinata,%20Mariko,%20MD&rft.date=2015-06-01&rft.volume=33&rft.issue=6&rft.spage=859.e1&rft.epage=859.e2&rft.pages=859.e1-859.e2&rft.issn=0735-6757&rft.eissn=1532-8171&rft_id=info:doi/10.1016/j.ajem.2014.12.027&rft_dat=%3Cproquest_cross%3E3700976201%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1684451783&rft_id=info:pmid/25572646&rft_els_id=1_s2_0_S0735675714009292&rfr_iscdi=true |