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- Aaron E Robinson, Gregg A Jones, Paul C Nystrom, Adam Stirling, Kelsey Vanderbosch, and Nicholas S Simpson.
- Hennepin Emergency Medical Services, Hennepin Healthcare, Minneapolis, Minnesota (AER, GAJ, PCN, AS, KV, NSS); Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota (AER, GAJ, PCN, NSS).
- Prehosp Emerg Care. 2022 May 1; 26 (3): 406-409.
AbstractCase: We discuss a patient with a penetrating knife wound to the chest who lost pulses from cardiac tamponade. Prehospital ultrasound was able to quickly identify the tamponade and a pericardiocentesis was performed using a Simplified Pneumothorax Emergency Air Release (SPEARTM) Needle (North American Rescue, LLC, USA) with subsequent return of spontaneous circulation. Discussion: Penetrating chest trauma carries significant morbidity and mortality. In traumatic cardiac arrest due to a penetrating mechanism, it is paramount that the patient be transported to a trauma center as quickly as possible. Prehospital pericardiocentesis is a potential life-saving intervention.
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