Hemorrhagic shock caused by intramuscular hematoma of the pectoralis major after CPR

[...]reevaluation of patients with the intention to identify potentially reversible factors, such as hemorrhagic shock that could compromise cardiopulmonary function recovery, is paramount during the early phase of postcardiac arrest care. Age/sex Precipitating factors/medications Onset of hemorrhag...

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Veröffentlicht in:The American journal of emergency medicine 2016-03, Vol.34 (3), p.682.e5-682.e6
Hauptverfasser: Hsu, Chia-Ching, Lin, Chih-Yuan, Tsai, Yi-Da, Tsai, Shih-Hung
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Sprache:eng
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Zusammenfassung:[...]reevaluation of patients with the intention to identify potentially reversible factors, such as hemorrhagic shock that could compromise cardiopulmonary function recovery, is paramount during the early phase of postcardiac arrest care. Age/sex Precipitating factors/medications Onset of hemorrhagic shock Site/associated injuries Treatment References 1 86/M CPR/ticlopidine 2 h Right Conservative treatment Present case 2 55/M CPR/enoxaparin 72 h Left/displaced fourth-eighth rib fractures Conservative treatment [4] 3 78/M Spontaneous hematoma/warfarin, aspirin N/A Bilateral (left > right) Conservative treatment [5] 4 74/M Left subclavian vein CVC insertion/warfarin, heparin 48 h Left Conservative treatment [6] 5 72/F Right axillary vein CVC insertion/warfarin, heparin 72 h Right Conservative treatment/drainage [7] Table Summary of the reported pectoral hematoma with hemorrhagic shock Abbreviation: N/A, not available.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.07.004