Obstructive shock secondary to simultaneous pulmonary thromboembolism and pneumothorax: utility of clinical ultrasonography

Authors

  • Miquel Turbau-Valls Servicio de Urgencias Generales y Semicríticos, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
  • Montserrat Serés Servicio de Urgencias Generales y Semicríticos, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
  • Leopoldo Higa Servicio de Urgencias Generales y Semicríticos, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
  • Antoni Moliné Servicio de Urgencias Generales y Semicríticos, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
  • Jesús Andrés Álvarez Servicio de Medicina Intensiva y Grandes Quemados, Hospital Universitario de Getafe, Madrid, Spain

DOI:

https://doi.org/10.32818/reccmi.a1n1a6

Keywords:

pulmonary embolism, pneumothorax, cardiac arrest, ultrasound

Abstract

Cardiac arrest is a diagnostic and therapeutic challenge in emergency departments. Bedside clinical ultrasonography can decisively help the emergency physician in decision making. We report a case of a patient who evolved to pulseless electrical activity presenting a massive pulmonary embolism and a pneumothorax simultaneously, both potentially responsible for this consequence. Clinical ultrasound performed during resuscitation manoeuvres helped to discern which pathology was responsible and allowed to establish a targeted treatment that contributed to the favourable outcome of the patient.

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References

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Published

2016-12-31

How to Cite

1.
Turbau-Valls M, Serés M, Higa L, Moliné A, Álvarez JA. Obstructive shock secondary to simultaneous pulmonary thromboembolism and pneumothorax: utility of clinical ultrasonography. Rev Esp Casos Clin Med Intern [Internet]. 2016 Dec. 31 [cited 2024 Jul. 22];1(1):13-5. Available from: https://www.reccmi.com/RECCMI/article/view/52