title: Rescue extracorporeal membrane oxygenation in a young man with a stab wound in the chest.
abstract: A 27-year-old man with haemorrhagic shock and acute cardiac tamponade due to a stab in the chest underwent successful resuscitation and surgical repair of the right ventricular perforation thanks to the use of extracorporeal membrane oxygenation (ECMO) in the emergency department. To the best of the authors' knowledge, this is the first report around the use of ECMO to rescue a victim of a penetrating cardiac trauma. The physicians who have portable ECMO device should be aware of this option when a life-threatening internal bleeding in haemodynamically unstable patients could be quickly controlled by surgery, even if performed in ill-suited settings.
authors: Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy. Electronic address: gius.gatti@gmail.com.
authors: Giuseppe
authors: G
authors: Gatti
authors: Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.
authors: Gabriella
authors: G
authors: Forti
authors: Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.
authors: Alessandro
authors: A
authors: Bologna
authors: Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.
authors: Gianfranco
authors: G
authors: Sagrati
authors: Department of Cardiac Surgery, Ospedali Riuniti, Trieste, Italy.
authors: Gianfranco
authors: G
authors: Gustin
authors: Department of Cardiology, Ospedali Riuniti, Trieste, Italy.
authors: Renata
authors: R
authors: Korcova
authors: Department of Thoracic Surgery, Ospedali Riuniti, Trieste, Italy.
authors: Elisabetta
authors: E
authors: Benci
authors: Department of Emergency, Ospedali Riuniti, Trieste, Italy.
authors: Luca
authors: L
authors: Visintin
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D012151:Resuscitation; D012771:Shock, Hemorrhagic / Q000628:therapy*; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000601:surgery*
keywords: Chest; Extracorporeal membrane oxygenation; Myocardial injury; Penetrating; Resuscitation; Trauma