Open AccessOptimal treatment for blunt trauma patients with cardiopulmonary arrest: An account of a successful case and review of the literature
Author(s) -
Kondo Yutaka,
Abe Toshikazu,
Fukami Masataka,
Kukita Ichiro
Publication year - 2019
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 - 10.1177/1024907918779319
Subject(s) - medicine , ventricular fibrillation , cardiopulmonary resuscitation , resuscitation , emergency department , blunt , blunt trauma , ventricular tachycardia , return of spontaneous circulation , pulseless electrical activity , cardiology , anesthesia , surgery , psychiatry
Prognosis of cardiopulmonary arrest occurring in patients with blunt trauma is very poor; patients rarely recover from this condition. We either do not attempt cardiopulmonary resuscitation or terminate it after some time in blunt trauma–cardiopulmonary arrest cases. We presented a rare case of successful resuscitation of a patient with blunt trauma–cardiopulmonary arrest. Case presentation: A 54‐year‐old man was admitted to our emergency department after being injured in a traffic accident. The patient suffered from ventricular fibrillation, and spontaneous circulation was restored by a defibrillator. The estimated arrest time was 20 min. Discussion: On arrival of our emergency department, the patient showed intra‐abdominal hemorrhage and we performed emergency surgery; 10 days after admission, the patient suffered from pulseless ventricular tachycardia—coronary angiography was performed, which revealed that the patient had coronary artery stenosis. Conclusion: We experienced trauma patients concealed with coronary artery stenosis. In traumatic arrest with ventricular fibrillation, it may be due to a medical reason, and more prolonged and intensive resuscitation may be considered.