Case Reports in Emergency Medicine最新文献_第7页

Cannabis-Induced Third-Degree AV Block 大麻诱导的三度AV阻滞

Case Reports in Emergency Medicine Pub Date : 2019-09-16 DOI: 10.1155/2019/5037356

J. V. Van Keer

引用次数: 8

A Rare Presentation of a Rare Entity: Wellens Syndrome with Subtle Terminal T Wave Changes 罕见病例的罕见表现:韦伦斯综合征伴细微的末端T波改变

Case Reports in Emergency Medicine Pub Date : 2019-09-16 DOI: 10.1155/2019/1582030

Mohammed J. Arisha, A. Hallak, Ahmad Khan

引用次数: 13

A Curious Case of the Persistent Body Stuffer 一个奇怪的持续身体填充物的案例

Case Reports in Emergency Medicine Pub Date : 2019-09-16 DOI: 10.1155/2019/3948054

Muhammad Durrani, Carla Dugas, Samaresh Dasgupta

引用次数: 4

Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department 肺气肿性肾盂肾炎表现为肺炎和急诊超声的使用

Case Reports in Emergency Medicine Pub Date : 2019-09-02 DOI: 10.1155/2019/6903193

N. Brown, P. Petersen, D. Kinas, M. Newberry

{"title":"Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department","authors":"N. Brown, P. Petersen, D. Kinas, M. Newberry","doi":"10.1155/2019/6903193","DOIUrl":"https://doi.org/10.1155/2019/6903193","url":null,"abstract":"Emphysematous pyelonephritis (EPN) is a rare form of pyelonephritis causing a severe infection of the renal system that includes gas in the renal parenchyma, collecting system and surrounding tissue often presenting with sepsis. We report the case of a 60-year-old male with poorly controlled insulin dependent diabetes mellitus who presented with abdominal pain, nausea, vomiting, and “peeing air.” CT scan revealed air extending from the left renal parenchyma, perinephric fat and into the bladder, consistent with emphysematous pyelonephritis. Bedside point-of-care ultrasound (POCUS) subsequently revealed dirty shadowing and reverberation artifacts in the left kidney and the bladder consistent with gas in the urinary collecting system. By understanding the identifying artifacts seen with EPN, reflective shadow and reverberation artifact, the emergency physician may be alerted to the diagnosis sooner. Often this illness presents similarly to simple, acute pyelonephritis or undifferentiated sepsis. Therefore, POCUS allows for real time consideration of this condition while in the emergency department and thus prompter time to treatment.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90677242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Cardiac Arrest due to Butane Gas Inhalation in an 18 Years Old Boy 一名18岁男孩因吸入丁烷气体导致心脏骤停

Case Reports in Emergency Medicine Pub Date : 2019-08-22 DOI: 10.1155/2019/2461346

Abdulaziz Alrabiah, Abdulmalik Alshamrani, Afnan A AlMass

引用次数: 5

Management of Trazodone Overdose with Severe Hypotension 曲唑酮过量并发严重低血压的处理

Case Reports in Emergency Medicine Pub Date : 2019-08-04 DOI: 10.1155/2019/2470592

L. Camacho, Jack Stearns, Richard Amini

引用次数: 3

Status Epilepticus Caused by an Herbicide Poisoning 除草剂中毒引起的癫痫持续状态

Case Reports in Emergency Medicine Pub Date : 2019-07-11 DOI: 10.1155/2019/3014138

Mohammed Sidayne, Adnane Lahlou, S. Benlamkaddem, M. Berdai, M. Harandou

引用次数: 2

Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy 暴发性嗜酸性心肌炎年轻患者成功的桥式康复治疗:经皮心室辅助装置和心肌内膜活检的作用

Case Reports in Emergency Medicine Pub Date : 2019-07-02 DOI: 10.1155/2019/8236735

Saki Hasegawa-Tamba, Keiki Sugi, Yodo Gatate, Kanako Sugiyama, T. Muramatsu, S. Nishimura, M. Yasuda, K. Fukushima, Shintaro Nakano

{"title":"Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy","authors":"Saki Hasegawa-Tamba, Keiki Sugi, Yodo Gatate, Kanako Sugiyama, T. Muramatsu, S. Nishimura, M. Yasuda, K. Fukushima, Shintaro Nakano","doi":"10.1155/2019/8236735","DOIUrl":"https://doi.org/10.1155/2019/8236735","url":null,"abstract":"Eosinophilic myocarditis (EM) is a rare condition characterized by myocardial eosinophilic infiltration due to various underlying etiologies. The patient with EM may benefit from appropriate use of mechanical circulatory support (MCS) that acts as a bridge to myocardial recovery in response to effective immunosuppressive therapy. A 16-year-old boy presented with cardiogenic shock due to fulminant myocarditis, for which a percutaneous ventricular assist device (PVAD) was immediately inserted. Based on the histological diagnosis of EM, immunosuppressive therapy was immediately commenced, leading to improvement of left-ventricular ejection fraction (27% to 47%). The PVAD was successfully removed on day 7. Cardiac magnetic resonance imaging and dual-tracer myocardial scintigraphy suggested limited extent of irreversible myocardial damage. For fulminant EM, the short-term use of PVAD, together with immunosuppressive therapy guided by an immediate histological investigation, may be an effective bridging strategy to myocardial recovery.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88757619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury 心脏穿透性损伤晚期生存链1例

Case Reports in Emergency Medicine Pub Date : 2019-07-02 DOI: 10.1155/2019/2895439

M. Andersen, F. de Paoli, Rikke Mærkedahl, S. Jepsen, K. Dalgaard, Thomas Falstie, Gustav Gerstrøm

{"title":"A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury","authors":"M. Andersen, F. de Paoli, Rikke Mærkedahl, S. Jepsen, K. Dalgaard, Thomas Falstie, Gustav Gerstrøm","doi":"10.1155/2019/2895439","DOIUrl":"https://doi.org/10.1155/2019/2895439","url":null,"abstract":"The survival rate of penetrating cardiac trauma is dismal, with only a few patients reaching the hospital with any signs of life. Short transport time and close proximity to the trauma center are positive factors for survival. We report the successful case of a 21-year-old male with penetrating cardiac injury and tension-pneumothorax with long distance to a trauma facility. The patient was stabbed twice in the anterior left side of the thorax. The emergency services found the patient with suspicion of left tension-pneumothorax. Urgent left mini-thoracotomy was established resulting in spontaneous respiration and clinical improvement. Due to rapid clinical deterioration and clinical suspicion of pericardial tamponade, patient was transported to the local regional hospital only minutes away. Echocardiography confirmed tamponade, and urgent ultrasound-guided pericardiocentesis was performed. During the transport blood was intermittently drained from the pericardial sack until arrival at the trauma center where a penetrating injury to the left ventricle was repaired during urgent cardiac surgery. The patient was discharged 8 days after the incident. Conclusion. Well organized emergency medical transport systems increase the chance of survival in penetrating cardiac injuries. Urgent pericardiocentesis with continuous drainage can help stabilize a patient until arrival at trauma facility.","PeriodicalId":9624,"journal":{"name":"Case Reports in Emergency Medicine","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80719591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Orbital Emphysema as a Consequence of Forceful Nose-Blowing: Report of a Case 强力擤鼻导致眼眶肺气肿1例报告

Case Reports in Emergency Medicine Pub Date : 2019-06-18 DOI: 10.1155/2019/4383086

Yukino Ariyoshi, H. Naito, T. Yumoto, Atsuyoshi Iida, Hirotsugu Yamamoto, N. Fujisaki, T. Aokage, K. Tsukahara, Taihei Yamada, Y. Mandai, T. Osako, A. Nakao

引用次数: 7