Document Detail


The deadly broomstick: an unusual missile injury to the neck.
MedLine Citation:
PMID:  17133025     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 51-year-old man was struck by the tip of a broomstick weighing 1000 g at the left side of the neck, upon which he collapsed. Intense but delayed cardiopulmonary resuscitation restored the circulation roughly 30 minutes after the incident. Upon admittance to a nearby hospital, an extensive hypoxic cerebral damage was diagnosed. Death due to the severe cerebral damage occurred 5 hours after the incident. An autopsy demonstrated a severe subcutaneous traumatization of the left side of the neck, with a hemorrhage compressing the carotid bifurcation. A prolonged excitation due to this ongoing compression of the baroreceptors in the carotid sinus was assumed to have led to a cardiac arrest. In this case report, the authors discuss the underlying pathophysiology of this potentially lethal and rare reflexogenic incident also known as the Hering reflex and discuss possible therapeutic measures.
Authors:
Stephan Bolliger; Thomas Plattner; Ulrich Zollinger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  27     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-29     Completed Date:  2007-02-15     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  304-6     Citation Subset:  IM    
Affiliation:
Institute of Forensic Medicine, University of Bern, Berne, Switzerland. stephan.bolliger@irm.unibe.ch
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MeSH Terms
Descriptor/Qualifier:
Autopsy
Carotid Artery Injuries / pathology*
Diagnosis, Differential
Forensic Ballistics
Humans
Male
Middle Aged
Neck Injuries / pathology*
Shock / pathology*
Wounds, Nonpenetrating / pathology*

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


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