The American journal of emergency medicine
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Case Reports
Inadvertent administration of rtPA to a patient with type 1 aortic dissection and subsequent cardiac tamponade.
Administration of thrombolytic agents to patients with misdiagnosis of acute myocardial infarction can result in serious side effects. A case of aortic dissection that was misdiagnosed as acute myocardial infarction and received rtPA is reported. ⋯ The patient underwent emergency resection of the dissection and evacuation of the pericardial and anterior mediastinal hematoma. Although he required massive transfusion of blood products intraoperatively, he is doing well 22 months after his surgery.
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Review Case Reports
Traumatic rupture of the stomach secondary to Heimlich maneuver.
The case of a 93-year-old man who received a Heimlich maneuver while choking is reported. After the procedure, the patient presented with abdominal pain and ultimately was found to have developed a gastric rupture. ⋯ Other complications have occurred. It is reasonable to perform the procedure as an alternative to asphyxiation, but emergency physicians must be aware of the fact that life-threatening complications may ensue.
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Review Comparative Study
Interhospital transfer of cardiac patients by air.