Document Detail


A case study of right ventricular rupture in an elderly victim of motor vehicle crash: incorporating end-of-life care into trauma nursing.
MedLine Citation:
PMID:  18080577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac trauma fatalities occur in 22% of victims of motor vehicle crash. Blunt cardiac trauma may result in myocardial rupture. Mechanisms of injury include compression, deceleration, laceration, and "hydraulic ram" effect. Diagnosis is difficult because of coexisting injuries and the lack of evidence-based protocols. Physiological changes in the elderly and the presence of comorbid illness result in poor survival rates when myocardial rupture occurs. Trauma nurses must be prepared to provide end-of-life care related to the poor outcome associated with myocardial rupture. This case study reports a right ventricular rupture in an elderly patient involved in a frontal motor vehicle crash.
Authors:
Jeffrey M Van Horn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of trauma nursing : the official journal of the Society of Trauma Nurses     Volume:  14     ISSN:  1078-7496     ISO Abbreviation:  J Trauma Nurs     Publication Date:    2007 Jul-Sep
Date Detail:
Created Date:  2007-12-17     Completed Date:  2008-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512997     Medline TA:  J Trauma Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  136-43     Citation Subset:  N    
Affiliation:
Widener University School of Nursing, Chester, Pennsylvania 18062, USA. RN269278L@aol.com
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic*
Advanced Cardiac Life Support
Aged, 80 and over
Cardiac Tamponade / etiology,  nursing
Family Nursing
Fatal Outcome
Heart Rupture / etiology,  nursing*
Humans
Male
Nursing Care*
Terminal Care*
Thoracic Injuries / complications,  nursing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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