Annals of emergency medicine
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Case Reports Multicenter Study Clinical Trial
Successful cricothyrotomy after thrombolytic therapy for acute myocardial infarction: a report of two cases.
Cricothyrotomy is an emergency airway procedure that is generally performed after failure of primary methods for securing the airway. Coagulopathy has traditionally been considered a relative contraindication to cricothyrotomy, but there is little evidence in the literature to support this. There have been no reports of successful cricothyrotomy in a patient who had received systemic thrombolytic therapy. ⋯ Intubation was impossible, and a cricothyrotomy was performed. Significant bleeding was controlled initially with packing and was semielectively explored later in the ICU with ligation of several small bleeding vessels. Prior administration of thrombolytic therapy does not preclude successful cricothyrotomy.
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[American College of Emergency Physicians. Injury control/trauma data banks. Ann Emerg Med. February 2000;35:211.].
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[American College of Emergency Physicians. Hospital, medical staff, and payer responsibility for emergency department patients. Ann Emerg Med. February 2000;35:210-211.].
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[National Highway Traffic Safety Administration. Alcohol-related fatal crash rates for youth reach historic low: strategies for combating juvenile DUI. Ann Emerg Med. February 2000;35:192-193.].
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[National Highway Traffic Safety Administration. Alcohol-related fatal crash rates for youth reach historic low: strategies for combating juvenile DUI. Ann Emerg Med. February 2000;35:192-193.].