Profound bradycardia related to long bone fracture manipulation.
A 69-year-old male presented to the Emergency Department (ED) with a left comminuted femur fracture. Manipulation of the fractured leg resulted in profound bradycardia, necessitating cessation of the procedure in the ED. Various causes of sinus bradycardia, including vagal-mediated responses, as well as management of vagal-mediated bradycardia are discussed.
Marco
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CA
Department of Emergency Medicine, Johns Hopkins Bayview Medical Center, Baltimore, Maryland 21224, USA.
Marco
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AP
D000058:Accidental Falls; D000368:Aged; D000698:Analgesia / Q000379:methods; D001919:Bradycardia / Q000209:etiology* / Q000628:therapy; D005264:Femoral Fractures / Q000628:therapy*; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000009:adverse effects*; D014630:Vagus Nerve