cardiac box issues

• Previous message: cardiac box issues
• Next message: cardiac box issues
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

Quite common--no relation between PTX and penetrating cardiac injury exists to my knowledge--the absence of a PTX in no way excludes cardiac injury, especially in the "precordial region" where there is no reason to suspect pleural penetration.  Consider the two entirely unrelated for the purposes of making clinical decisions.  Also--by FAST, I assume you actually mean pericardial U/S--this is not a FAST, and there is no reason to do a FAST for such an injury as there is no demonstrated value whatever to U/S abdomen for penetrating trauma--neg study would not exclude injury, positive study in no way indicates the need for intervention
ERF 
-----Original Message-----
From: joe.nemeth at staff.mcgill.ca
To: trauma-list at trauma.org
Sent: Thu, 26 Jan 2006 09:07:55 -0500
Subject: cardiac box issues


a couple of things:

1)silly mistake seen last week....

-Schizo pt. 30's, arrives with a 14G "inserted" by himself precordial region,
-exam: no issues FAST neg.
-pt. sat up for upright CXR
-small PTX
-10 min later formal echo done:large effusion...

probably shouldn't have been sat up for the upright with an object pointing at
his heart...

2)this is a question...

what's the incidence of penetrating pericardial injury without an obvious PTX?

joe

-- 
Dr. Joe Nemeth
Assistant Professor
Emergency Medicine
Montreal General Hospital
Montreal Children's Hospital
McGill University Health Center



--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/traumalist.html

• Previous message: cardiac box issues
• Next message: cardiac box issues
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]