Document Detail

Air embolism death of a pregnant woman secondary to orogenital sex.
MedLine Citation:
PMID:  7600403     Owner:  NLM     Status:  MEDLINE    
Air embolism produced by vaginal insufflation is an unusual but potentially lethal consequence of sexual activity, especially in the pregnant patient. Reported here is the case of a young pregnant woman who presented to the ED in full cardiac arrest, with little history to explain her condition. Despite aggressive resuscitative measures, the patient died, but her infant son was delivered via perimortem cesarean section and survived. A high level of suspicion for air embolism should be maintained for young women who unexpectedly develop cardiac arrest, particularly during sexual activity. Air embolism patients may require vigorous medical resuscitation, hyperbaric oxygen therapy, or surgical intervention to survive. The emergency physician should be familiar with the indications for perimortem cesarean delivery in the third-trimester patient presenting to the ED with cardiac arrest.
R T Kaiser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  1     ISSN:  1069-6563     ISO Abbreviation:  Acad Emerg Med     Publication Date:    1994 Nov-Dec
Date Detail:
Created Date:  1995-08-10     Completed Date:  1995-08-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  555-8     Citation Subset:  IM    
Section of Emergency Medicine, University of Chicago Hospitals, USA.
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MeSH Terms
Cesarean Section
Embolism, Air / complications,  etiology*
Heart Arrest / etiology
Infant, Newborn
Pregnancy Complications, Cardiovascular / etiology*
Sexual Behavior*

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