Prehospital mechanical ventilation of a critical cardiac tamponade.
Mechanical ventilation of a critical cardiac tamponade is a high-risk situation that can lead to asystolic cardiac arrest. We report a prehospital mechanical ventilation of a penetrating cardiac injury complicated with tamponade. Onset diagnosis of the circulatory arrest allowed by prehospital continuous ultrasonography led to earlier initiation of the resuscitation and might have favored successful outcome. Electrocardiographic signs are too late to diagnose circulatory arrest.
Department of Anesthesiology and Intensive Care, University Hospital of Toulouse, Paul Sabatier University, Toulouse, France. barthelemy.r@chu-toulouse.fr
Romain
R
Barthélémy
Vincent
V
Bounes
Vincent
V
Minville
Charles-Henri
CH
Houze-Cerfon
Jean-Louis
JL
Ducassé
D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery*; D004638:Emergency Treatment; D006801:Humans; D008297:Male; D012121:Respiration, Artificial / Q000379:methods*; D014951:Wounds, Stab / Q000150:complications*