…internally, account for approximately half of all traumatic cardiac arrests. In the absence of evident hemorrhage, potential etiologies to consider include tension pneumothorax, traumatic asphyxia…

…instances of tension pneumothorax, the accumulated pressure can shift the entire mediastinum, manifesting externally as a laryngeal displacement. Etiologies of tension pneumothorax include: Traumatic injuries …

…be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is structured around three principal diagnostic categories: Myocardial ischaemia , particularly acute coronary syndrome…

…alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic injury. In classic dissection, an intimal tear permits blood to enter the diseased aortic…

…Comment : : : Intracranial pressure (ICP) < 22 mmHg The treatment threshold in traumatic brain injury Cerebral perfusion pressure (CPP) 60–70 mmHg CPP = MAP − ICP…

…are introduced, although the effect on 24 hour mortality is uncertain and the evidence for non traumatic bleeding is weaker [2,3,4]. Do the…

…without being found. Indications A traumatic wound that gapes and cannot be expected to heal with good function or cosmesis without apposition. A wound that…

…cardiac injury syndrome (PCIS). PCIS is an umbrella term that also includes post pericardiotomy syndrome and post traumatic pericarditis, including cases related to cardiovascular interventions…

…hearing, cardiac examination, ECG, selective vascular imaging Traumatic or toxic syndrome Onset after trauma, a change in medication or an exposure Concussion, temporal bone injury…

…with a cardiothoracic surgeon. Myocardial rupture after myocardial infarction, and traumatic haemopericardium — these require surgery; pericardiocentesis is at best a bridge to it. A small …

…JE, Gwyther R, Kirkman E. Closed chest compressions reduce survival in an animal model of haemorrhageinduced traumatic cardiac arrest. Resuscitation 2019; 140:37 42. Endo…

…JE, Gwyther R, Kirkman E. Closed chest compressions reduce survival in an animal model of hemorrhage induced traumatic cardiac arrest. Resuscitation 2019;140: 37 42…

…Draining the pericardium, therefore, takes precedence over compressions. For traumatic tamponades, thoracotomy remains the primary therapeutic intervention. Ideally, it should be performed within 15 minutes…

…An atraumatic needle (pencil point, Sprotte or Whitacre), 22–25 G. A cutting needle (Quincke) only when an atraumatic needle is unavailable or cannot be…