Document Detail


Temporization of Penetrating Abdominal-Pelvic Trauma With Manual External Aortic Compression: A Novel Case Report.
MedLine Citation:
PMID:  24161838     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A young civilian man experienced multiple gunshots to the lower abdomen, pelvis, and thigh. These were not amenable to direct compression by a single rescuer. This report outlines the first case in the peer-reviewed literature of manual external aortic compression after severe trauma. This technique successfully temporized external bleeding for more than 10 minutes and restored consciousness to the moribund victim. Subsequently, external bleeding could not be temporized by a second smaller rescuer, or during ambulance transfer. Therefore, we also gained insights about the possible limits of bimanual compression and when alternates, such as pneumatic devices, may be required. Research is needed to test our presumption that successful bimanual compression requires larger-weight rescuers, smaller-weight victims, and a hard surface. It is therefore unclear whether manual external aortic compression is achievable by most rescuers or for most victims. However, it offers an immediate and equipment-free life-sustaining strategy when there are limited alternatives.
Authors:
Matthew Douma; Katherine E Smith; Peter G Brindley
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-23
Journal Detail:
Title:  Annals of emergency medicine     Volume:  -     ISSN:  1097-6760     ISO Abbreviation:  Ann Emerg Med     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.
Affiliation:
Lawrence S. Bloomberg Faculty of Nursing, Masters of Nursing, Nurse Practitioner Program Student and Collaborative Program in Resuscitation Science, Faculty of Medicine at the University of Toronto, Toronto, Ontario, Canada.
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