Acute Medicine & Surgery最新文献

{"title":"Penetrating cardiac injury caused by multiple rib fractures following high-energy trauma: Usefulness of the exploratory video-assisted thoracoscopic surgery","authors":"Keisuke Tetsumoto,&nbsp;Masakazu Takayama,&nbsp;Tadaaki Koyama,&nbsp;Hidenao Kayawake,&nbsp;Masao Saito,&nbsp;Ken Nakamura,&nbsp;Yutaka Takahashi,&nbsp;Hiroshi Hamakawa","doi":"10.1002/ams2.938","DOIUrl":"https://doi.org/10.1002/ams2.938","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Penetrating cardiac injuries are usually fatal and associated with poor survival rates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 69-year-old man was injured in a motor vehicle accident and suffered from left hemothorax and multiple rib fractures near the heart. A comprehensive assessment raised suspicions of lacerated pericardium and myocardial injury. Consequently, a thoracoscopy was performed 9 h after injury. A penetrating cardiac injury was detected and surgically treated via video-assisted thoracoscopic surgery. The patient recovered uneventfully and was discharged on postoperative day 16.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Exploratory video-assisted thoracoscopic surgery may play a key role in the primary diagnosis of patients with high-energy chest traumas with cardiac injury and simultaneously allow for the appropriate surgical interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140537792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of comprehensive biomolecules in critically ill patients via bioinformatics technologies","authors":"Hisatake Matsumoto,&nbsp;Hiroshi Ogura,&nbsp;Jun Oda","doi":"10.1002/ams2.944","DOIUrl":"https://doi.org/10.1002/ams2.944","url":null,"abstract":"<p>Each patient with a critical illness such as sepsis and severe trauma has a different genetic background, comorbidities, age, and sex. Moreover, pathophysiology changes dynamically over time even in the same patient. Therefore, individualized treatment is necessary to account for heterogeneity in patient backgrounds. Recently, the analysis of comprehensive biomolecular information using clinical specimens has revealed novel molecular pathological classifications called subtypes. In addition, comprehensive biomolecular information using clinical specimens has enabled reverse translational research, which is a data-driven approach to the identification of drug target molecules. The development of these methods is expected to visualize the heterogeneity of patient backgrounds and lead to personalized therapy.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.944","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140537793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronary computed tomography–angiography for traumatic coronary artery transection","authors":"Kenta Nagashima,&nbsp;Tomohiro Hayashida,&nbsp;Eiji Yamada,&nbsp;Naoki Ishibashi,&nbsp;Naoki Mimura,&nbsp;Nobuhiro Kashitani","doi":"10.1002/ams2.946","DOIUrl":"https://doi.org/10.1002/ams2.946","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Penetrating thoracic trauma with coronary artery transection is a lethal injury, but is rare. We report a case of a cardiac stab wound with coronary artery transection that was successfully treated after preoperative diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 36-year-old man was transferred to our emergency department with a left chest stab wound. A coronary computed tomography-angiography scan, including coronary angiography, revealed left hemopneumothorax and left anterior descending branch transection, with ischemic changes in the left ventricular myocardium. Given the diagnosis of coronary artery transection and the absence of injury to the surrounding arteries, we were able to perform coronary artery bypass surgery using the left internal thoracic artery. The patient's postoperative course was good, and he was discharged on foot without major complications 18 days after surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Unless a resuscitative thoracotomy is required, a preoperative computed tomography scan, including coronary angiography, may be useful for accurate preoperative diagnosis for patients at high risk of myocardial or coronary artery injury.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140348659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medial pontine mid-tegmentum syndrome","authors":"Junpei Komagamine,&nbsp;Satsuki Yoshihara,&nbsp;Yasuhiro Kano","doi":"10.1002/ams2.948","DOIUrl":"https://doi.org/10.1002/ams2.948","url":null,"abstract":"<p>A 74-year-old man presented to the emergency department with acute diplopia and transient left-sided paresthesia of the upper and lower limbs. He reported no headaches, dizziness, or vision loss. Upon presentation, he was alert and oriented. Neurological examination revealed right abducens nerve palsy with diplopia on the right lateral gaze (Figure 1A). His left-sided paresthesia had improved on presentation, and there were no other neurological findings. Brain magnetic resonance imaging (MRI) revealed a small infarct in the right pontine tegmentum (Figure 1B,C). Magnetic resonance angiography revealed no significant stenosis of the cerebral arteries. Dual antiplatelet therapy was started, and his right abducens nerve palsy gradually resolved. He was discharged after a one-week hospital stay.</p><p>To our knowledge, this is the second report of medial pontine mid-tegmentum syndrome<span>¹</span> resulting from damage to the mid-lateral portion of the medial lemniscus of the pons. Because the abducens nerve crosses the medial lemniscus at the pontine level, this syndrome is associated with ipsilateral abducens nerve palsy and contralateral sensory disturbance<span>¹</span> (Figure 1D). Given the limited sensitivity of MRI for detecting ischemic stroke of the posterior circulation,<span>²</span> recognition of this syndrome as one of the stroke syndromes is critical for prompt intervention.</p><p>The authors declare no conflicts of interest.</p><p>Approval of the research protocol: N/A.</p><p>Informed consent: Informed consent was obtained from the patient.</p><p>Registry and the registration no. of the study/trial: N/A.</p><p>Animal studies: N/A.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140348647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Were you a family member, or a COVID-19 patient?","authors":"Nobuyuki Nosaka,&nbsp;Kenji Wakabayashi","doi":"10.1002/ams2.947","DOIUrl":"https://doi.org/10.1002/ams2.947","url":null,"abstract":"<p>We have read with great interest the study by Shirasaki et al.<span>¹</span> recently published in <i>Acute Medicine and Surgery</i>, where the authors studied the long-term outcomes of psychiatric disorders in families of COVID-19 patients admitted to the intensive care unit (ICU) of a single hospital in Tokyo, Japan. They described that as high as 39% of families suffered from anxiety and/or depression even more than a year after the patient's discharge. Notably, this is a valuable study that presents data on long-term post-intensive care syndrome—family (PICS-F) in Japan.</p><p>In the context of the prolonged COVID-19 pandemic, the high transmissibility of SARS-CoV-2 may pose an additional discussion in assessing the long-term psychological outcomes of family members of COVID-19 patients. According to the Japanese Ministry of Health, Labour, and Welfare, the prevalence of SARS-CoV-2 antibodies among Japanese adult population is as high as 56.4%, as of November 2023.<span>²</span> The fact suggests that many family members may have contracted COVID-19 themselves during the epidemic.</p><p>A crucial aspect to consider is the prevalence of “long COVID,” a condition characterized by persistent sequelae including psychiatric disorders, in a significant number of COVID-19 survivors.<span>³</span> Notably, around 30% of COVID-19 patients who required mechanical ventilation in Japan exhibited symptoms of psychiatric disorders after discharge.<span>⁴</span></p><p>Furthermore, while the Hospital Anxiety and Depression Scale (HADS) is a widely recognized tool for assessing anxiety and depression symptoms in PICS-F,<span>⁵</span> it does not specifically determine whether these symptoms are directly linked to the ICU admission of a family member. As a result, the depressive and anxious symptoms described in this study could be attributed not only to PICS-F but also to the impacts of long COVID or post-intensive care syndrome (PICS) experienced by the patients themselves. Therefore, we feel it is essential to adopt a more nuanced approach to understand the complex effects of these conditions on the mental health of families affected by COVID-19.</p><p>Again, we would applaud the authors for performing such an important study, which suggests the need for support for both patient-centered and family-centered care during the remote period after the patient's discharge from the ICU.</p><p>The authors declare no conflicts of interest.</p><p>Approval of the research protocol: N/A.</p><p>Informed consent: N/A.</p><p>Registry and the registration no. of the study/trial: N/A.</p><p>Animal studies: N/A.</p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140329020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between lung contusion volume and acute changes in fibrinogen levels: A single-center observational study","authors":"Ryosuke Nobe,&nbsp;Shunichiro Nakao,&nbsp;Yuko Nakagawa,&nbsp;Hiroshi Ogura,&nbsp;Takeshi Shimazu,&nbsp;Jun Oda","doi":"10.1002/ams2.945","DOIUrl":"https://doi.org/10.1002/ams2.945","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Organ tissue damage, including the lungs, may lead to acute coagulopathy. This study aimed to evaluate the association between lung contusion volume and serum fibrinogen level during the acute phase of trauma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an observational study using electronic medical records at a tertiary-care center between January 2015 and December 2018. We included patients with lung contusions on hospital arrival. We used three-dimensional computed tomography to calculate lung contusion volumes. The primary outcome was the lowest fibrinogen level measured within 24 h of hospital arrival. We evaluated the association between lung contusion volume and outcome with multivariable linear regression analysis. Also, we calculated the sensitivity and specificity of lung contusion volume in patients with a serum fibrinogen level of ≤150 mg/dL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 124 eligible patients. Their median age was 43.5 years, and 101 were male (81.5%). The median lung contusion volume was 10.9%. The median lowest fibrinogen level within 24 h from arrival was 188.0 mg/dL. After adjustment, lung contusion volume had a statistically significant association with the lowest fibrinogen level within 24 h from arrival (coefficient −1.6, 95% confidence interval −3.16 to −0.07). When a lung contusion volume of 20% was used as the cutoff, the sensitivity and specificity to identify fibrinogen depletion were 0.27 and 0.95, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Lung contusion volume was associated with the lowest fibrinogen level measured within 24 h from hospital arrival. Measuring lung contusion volume may help to identify patients with a progression of fibrinogen depletion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for the need for advanced care among prescription and over-the-counter drug overdose patients","authors":"Chie Tanaka,&nbsp;Takashi Tagami,&nbsp;Makihiko Nagano,&nbsp;Fumihiko Nakayama,&nbsp;Junya Kaneko,&nbsp;Masamune Kuno","doi":"10.1002/ams2.942","DOIUrl":"https://doi.org/10.1002/ams2.942","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Prescription drug and over-the-counter (OTC) drug overdose is a major problem in emergency departments in Japan, and some need advanced care which is more than observation. We aimed to identify the prehospital risk factors for the need of advanced care among overdose patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a single-center retrospective cohort study. We included overdoses patients of prescription drugs or OTC drugs, who admitted to our hospital between 2016 and 2021. We grouped them into advanced care and non-advanced care. The main outcome was the need for advanced care. We performed a multiple logistic regression analysis, calculated the PAV score (<b>P</b>aracetamol use, <b>A</b>lcohol use, abnormal <b>V</b>ital signs on scene) and performed a receiver operating characteristic (ROC) analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 229 subjects. The logistic regression analysis revealed that alcohol, paracetamol, and the abnormal vital signs on scene were associated with advanced care (alcohol-odds ratio [OR]: 2.95; 95% confidence interval [CI]: 1.29–6.75; paracetamol-OR: 5.47; 95% CI: 2.18–13.71; abnormal vital signs-OR: 4.61, 95% CI: 2.07–10.27). The rate of advanced care in the high PAV score (2 and 3) group was statistically higher than that in the low PAV score (0–1) group (<i>p</i> = 0.04). Area under the ROC curve of the PAV score was 0.72 (95% CI, 0.65–0.80).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Alcohol, paracetamol use and abnormal vital signs on scene might be risk factors for advanced care among prescription drugs or OTC drugs overdose patients, and the PAV score may predict the need for advanced care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.942","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elective surgery for liver injury and misinserted tube into the inferior vena cava associated with chest tube replacement: A case report","authors":"Hiroshi Homma,&nbsp;Kenichiro Uchibori,&nbsp;Fumimasa Kobori,&nbsp;Kentaro Kawai,&nbsp;Kazunari Azuma,&nbsp;Shoji Suzuki,&nbsp;Kotaro Uchida,&nbsp;Jun Oda","doi":"10.1002/ams2.943","DOIUrl":"https://doi.org/10.1002/ams2.943","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Several reports on organ injury and death due to incorrect chest tube insertion exist; however, reports on the chest tube penetrating the liver and reaching the inferior vena cava are limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 79-year-old man presented with a clamped tube because of massive bleeding from the tube following right chest tube replacement in the hospital of origin. The tube entered the inferior vena cava from the hepatic parenchyma via the right hepatic vein and was removed 15 h later because his hemodynamics stabilized. A ruptured pseudoaneurysm necessitated further transcatheter arterial embolism on the second hospitalization day, and the patient was transferred back to the referring hospital on day 17.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Liver injury caused by an inferior vena cava misinsertion-associated chest tube can be treated with elective surgery in anticipation of the tube's tamponade effect. However, due to the risk of rebleeding, imaging follow-up is necessary soon after surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thyrohyoidotomy: A complication of cricothyroidotomy","authors":"Haruka Taira,&nbsp;Masahiro Kashiura,&nbsp;Takashi Moriya","doi":"10.1002/ams2.937","DOIUrl":"https://doi.org/10.1002/ams2.937","url":null,"abstract":"<p>A computed tomography (CT) image of the patient's neck after a cricothyroidotomy was performed due to upper airway obstruction. The CT revealed that the tracheostomy tube was inserted into the thyrohyoid membrane, not the cricothyroid ligament.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Splenic injury caused by cardiopulmonary resuscitation in a full stomach with hematoma after hemorrhagic shock due to bleeding duodenal ulcer: A case report","authors":"Daisuke Fujimori,&nbsp;Tomohide Koyama,&nbsp;Satomi Ooki,&nbsp;Masaaki Ito,&nbsp;Yasutaka Yoshiike,&nbsp;Satoshi Nakamura,&nbsp;Ryuhei Yoshida,&nbsp;So Sakamoto,&nbsp;Chikao Ito,&nbsp;Miyuki Kasuya,&nbsp;Kyoji Oe,&nbsp;Isao Takahashi","doi":"10.1002/ams2.940","DOIUrl":"https://doi.org/10.1002/ams2.940","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cardiopulmonary resuscitation is essential for cardiopulmonary arrest, but complications from chest compressions warrant monitoring. Although rib and sternal fractures are common, abdominal injuries are rare, and splenic injuries are much rarer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>A 74-year-old man was admitted to the emergency room with a hemorrhagic duodenal ulcer. During hospitalization, the patient went into cardiopulmonary arrest due to hemorrhagic shock. Spontaneous circulation returned after 7 min of cardiopulmonary resuscitation. He underwent transcatheter arterial embolization to stop the bleeding from the duodenal ulcer. The next day, a close examination of the patient's progressive anemia revealed splenic injury; transcatheter arterial embolization was performed to save his life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is important to consider the complication of splenic injury in patients with cardiopulmonary arrest who have undergone appropriate cardiopulmonary resuscitation. A possible mechanism—especially in patients with a full stomach—is the squeezing of the spleen by the diaphragm, abdominal wall, and stomach.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7196,"journal":{"name":"Acute Medicine & Surgery","volume":"11 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ams2.940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140114252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}