Open AccessOne More ‘T’ for the Mnemonic of the Management of Pulseless Electrical Activity: Tension Pneumoperitoneum
Author(s) -
Wong WY,
Wong OF,
Wong HT,
Fung HT
Publication year - 2009
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490790901600407
Subject(s) - pulseless electrical activity , medicine , pneumoperitoneum , decompression , resuscitation , cardiopulmonary resuscitation , medical emergency , cardiology , surgery , laparoscopy
The approach in Advanced Cardiac Life Support provided by the American Heart Association and the European Resuscitation Council guidelines for the management of pulseless electrical activity emphasizes on the search of reversible causes. Tension pneumoperitoneum is an uncommon surgical emergency encountered in the accident and emergency department. We report a case of pulseless electrical activity secondary to tension pneumoperitoneum in an elderly woman. Restoration of spontaneous circulation was immediately achieved after needle decompression. The management of tension pneumoperitoneum is discussed.