Tight-fitting garments as counterpressure devices.
A case of traumatic splenic rupture in a hemodynamically stable elderly woman is presented. The patient decompensated almost immediately following the removal of a tight-fitting girdle. The implications of recognizing garments as potential counterpressure devices in emergency management are discussed. Emergency physicians are cautioned to carefully explore and reevaluate patients after the removal of tight-fitting garments.
D000368:Aged; D003020:Clothing; D005260:Female; D006801:Humans; D011312:Pressure; D013161:Splenic Rupture / Q000209:etiology / Q000503:physiopathology*; D014949:Wounds, Nonpenetrating / Q000503:physiopathology*