Use of computed tomography and mechanical CPR in cardiac arrest to confirm pulmonary embolism: a case study.
Precise therapeutic decision-making is vital in managing out-of-hospital cardiac arrest. We present an interesting approach where suspected pulmonary embolism could be confirmed by early computed tomography in cardiac arrest. Chest compressions were performed automatically by mechanical devices also during the acquisition of computed tomography data and subsequent thrombolysis.
*Department of Clinical and Interventional Radiology,Munich,Germany.
Elaine Catrin
EC
Schubert
†Department of Trauma Surgery,Klinikum rechts der Isar,Technische Universität München,Munich,Germany.
Karl-Georg
KG
Kanz
‡Department of Clinical Radiology,University Hospital,Campus Innenstadt,Ludwig-Maximilians-Universität,Munich,Germany.
Ulrich
U
Linsenmaier
¶Department of Surgery,University Hospital,Campus Innenstadt,Ludwig-Maximilians-Universität,Munich,Germany.
Viktoria
V
Bogner
‡Department of Clinical Radiology,University Hospital,Campus Innenstadt,Ludwig-Maximilians-Universität,Munich,Germany.
Stefan
S
Wirth
|Department of Internal Medicine,University Hospital,Campus Innenstadt,Ludwig-Maximilians-Universität,Munich,Germany.
Matthias
M
Angstwurm
D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D004554:Electric Countershock; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006323:Heart Arrest / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011655:Pulmonary Embolism / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
Automated Chest Compression Devices; Computed Tomography (CT); In-field Thrombolysis; Out of hospital Cardiac Arrest (OHCA); Pulmonary Embolism