Lung injury and pneumothorax after defibrillation as demonstrated with computed tomography Terman Gümüş, Düzgün Yıldırım, Gökhan Uçar,
DOI: http://dx.doi.org/10.1016/j.ajem.2013.02.018
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: April 19 2013
x Many patients present for emergency services after electric injuries or require defibrillation during emergency services. Although the defibrillation process is safe, skin burns and myocardial injuries are reported after defibrillation procedures. There are limited data about the complications of defibrillation. In the case reported here, a lung injury and a small pneumothorax were observed after defibrillation. To the best of our knowledge, this is the first reported case in which computed tomography is used to demonstrate that a trace of electric current passed through the lung.
M-mode ultrasound for the detection of pneumothorax during helicopter transport Matthew Lyon, Stephen A. Shiver, Perry Walton
DOI: http://dx.doi.org/10.1016/j.ajem.2011.08.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: October 28 2011
x The presence of the sonographic sliding lung sign (SLS) is a sensitive indicator for the absence of a pneumothorax. The addition of M-mode ultrasound (US) can be a useful adjunct in detecting the SLS.
Small-bore catheter versus chest tube drainage for pneumothorax Damien Contou, Keyvan Razazi, Sandrine Katsahian, Bernard Maitre, Armand Mekontso-Dessap, Christian Brun-Buisson, Arnaud W. Thille
DOI: http://dx.doi.org/10.1016/j.ajem.2011.10.014
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: January 4 2012
x The aim of the study was to compare the effectiveness of drainage via a single-lumen (5F catheter) central venous catheter (CVC) to a conventional (14-20F catheter) chest tube (CT) for the management of pneumothoraces, including primary spontaneous pneumothorax (PSP), secondary spontaneous pneumothorax (SSP), and traumatic and iatrogenic pneumothoraces.
Emergent bilateral thoracoscopy for massive hemopneumothorax with contralateral pneumothorax Kang-Hung Wang, Chia-Hao Chang, Yu-Jen Cheng, Yu-Tang Chang, Po-Chih Chang
DOI: http://dx.doi.org/10.1016/j.ajem.2010.08.026
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: October 25 2010
x Video-assisted thoracoscopic surgery has become the criterion standard for the management of uncomplicated, primary spontaneous pneumothorax. However, for patients with concomitant massive hemothorax and shock, open thoracotomy is considered first. We report the case of a 16-year-old male patient who presented with left hemopneumothorax and contralateral mild pneumothorax. After bilateral tube thoracostomies, approximately 2000 mL of fresh blood was evacuated from the left chest cavity. Thereafter, the patient was successfully treated with emergent, single-stage bilateral thoracoscopic operation.
Pneumothorax is a rare complication of thoracic central venous catheterization in community EDs David R. Vinson, Dustin W. Ballard, Luke G. Hance, Matthew D. Stevenson, Victoria A. Clague, Adina S. Rauchwerger, Mary E. Reed, Dustin G. Mark, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.020
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: October 17 2014
x The rate of iatrogenic pneumothorax associated with thoracic central venous catheterization in community emergency departments (EDs) is poorly described, although such information is vital to inform the procedure’s risk/benefit analysis. We undertook this multicenter study to estimate the incidence of immediate catheter-related pneumothorax in community EDs and to determine associations with site of access, failed access, and positive pressure ventilation.
Occult Pneumothorax on Chest X-ray Karin Amrein, Harald Sourij, Julia Mader, Steven Amrein, Tanja Robl
DOI: http://dx.doi.org/10.1016/j.ajem.2010.07.025
The American Journal of Emergency Medicine , Vol. 29 , Issue 8 ,
Published online: October 28 2010
x We report the case of an adult woman who presented to the medical emergency department because of a swollen neck, eye lid, and chest pain. Vital signs were normal except for tachycardia; a trauma was denied. Clinical examination was remarkable for crepitation on the neck and thoracic wall indicating subcutaneous emphysema. The chest radiograph confirmed extensive emphysema; and a computed tomography scan diagnosed pneumothorax on both sides invisible on conventional radiography with gas in the soft tissue of the neck, chest, and abdominal wall.
Point-of-care ultrasound for assisting in needle aspiration of spontaneous pneumothorax in the pediatric ED: a case series Carrie Ng, James W. Tsung
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.011
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: November 18 2013
x There is controversy regarding needle aspiration for primary spontaneous pneumothorax (PSP), with contradictory recommendations between the American College of Chest Physicians consensus statement (2001), which suggests that needle aspiration has little place in the management of PSP, and the British Thoracic Society guidelines (2010), which recommend that needle aspiration be attempted first for all cases of PSP where drainage is deemed necessary. Studies have shown that there is no significant difference between needle aspiration and tube thoracostomy with regard to safety, rates of immediate success, and early failure and has the advantages of decreasing pain and reducing rates of hospital admission and duration of hospital stay compared with tube thoracostomy.
About ultrasound in pneumothorax Andrew Verniquet, Rafid Kakel
DOI: http://dx.doi.org/10.1016/j.ajem.2011.04.015
The American Journal of Emergency Medicine , Vol. 29 , Issue 7 ,
Published online: June 6 2011
x The interesting case report “the double lung point: an unusual sonographic sign of juvenile spontaneous pneumothorax” by Volpicelli and Audino [1] raises several questions.
Prevalence of large and occult pneumothoraces in patients with severe blunt trauma upon hospital admission: experience of 526 cases in a French level 1 trauma center Jonathan Charbit, Ingrid Millet, Camille Maury, Benjamin Conte, Jean-Paul Roustan, Patrice Taourel, Xavier Capdevila
DOI: http://dx.doi.org/10.1016/j.ajem.2015.03.057
The American Journal of Emergency Medicine , Vol. 33 , Issue 6 ,
Published online: April 6 2015
x Occult pneumothoraces (PTXs), which are not visible on chest x-ray, may progress to tension PTX. The aim of study was to establish the prevalence of large occult PTXs upon admission of patients with severe blunt trauma, according to prehospital mechanical ventilation.
BRIPPED scan for evaluation of ED patients with shortness of breath Virginia M. Stewart, Hjalti M. Bjornsson, Michelle Clinton, Donald V. Byars
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.006
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: November 5 2015
x The BRIPPED scan is an ultrasound evaluation of pulmonary B-lines, right ventricle size, inferior vena cava collapsibility, pleural and pericardial effusion, pneumothorax, left ventricle ejection fraction, and lower extremity deep venous thrombosis. The primary goal was to evaluate the effect of the BRIPPED scan on the physician's list of differential diagnoses for patients presenting with shortness of breath.
The still lung point: new sonographic evidence for pneumomediastinum Takashi Matsumoto, Hideyuki Matano
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.029
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: June 17 2015
x Ultrasonography has proven to be useful for pneumothorax diagnosis because it exceeds the chest X-ray regarding sensitivity, but the reliability of ultrasonography to diagnose pneumomediastinum has not been established. We report a patient with pneumomediastinum whose presentation was similar to that of pneumothorax, introducing a new sonographic finding that is potentially critical in diagnosing pneumomediastinum and in differentiating pneumomediastinum from pneumothorax, two conditions that can seem clinically very similar.
The bubble study: ultrasound confirmation of central venous catheter placement Petra E. Duran-Gehring, Faheem W. Guirgis, Kristin C. McKee, Susan Goggans, Huynh Tran, Colleen J. Kalynych, Robert L. Wears
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.010
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: October 10 2014
x The objective was to determine if ultrasound (US) can more rapidly confirm central venous catheter (CVC) position in comparison to chest radiography (CXR) in the emergency department.
Double-lung point sign in traumatic pneumothorax Anne Aspler, Emanuele Pivetta, Michael B. Stone
DOI: http://dx.doi.org/10.1016/j.ajem.2013.12.059
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: January 10 2014
x Lung ultrasound has emerged as a rapid and accurate screening tool for pneumothorax. The lung point sign, a sonographic representation of the point on the chest wall where the pleural layers re-adhere, is 100% specific to confirm the diagnosis. Double lung point sign for a single pneumothorax is extremely unusual and has only been reported twice in the literature.
Diagnostic performance of cardiopulmonary ultrasound performed by the emergency physician in the management of acute dyspnea Emeric Gallard, Jean-Philippe Redonnet, Jean-Eudes Bourcier, Dominique Deshaies, Nicolas Largeteau, Jeanne-Marie Amalric, Fouad Chedaddi, Jean-Marie Bourgeois, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.003
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: December 11 2014
x The etiologic diagnosis of acute dyspnea in the emergency department (ED) remains difficult, especially for elderly patients or those with previous cardiorespiratory medical history. This may lead to inappropriate treatment and potentially a higher mortality rate. Our objective was to evaluate the performance of cardiopulmonary ultrasound compared with usual care for the etiologic diagnosis of acute dyspnea in the ED.
Is there a potential role for echocardiography in adult patients with CAP? Birdal Yıldırım, Funda Sungur Biteker, Özcan Başaran, Ömer Doğan Alataş, Ethem Acar, Hamdi Sözen, Volkan Doğan, Halil Beydilli, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.036
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: June 18 2015
x The role of echocardiography in adult patients with community-acquired pneumonia (CAP) has not been tested in a clinical trial. The aim of the study was to assess the cardiac changes secondary to CAP by echocardiography and to find out the correlation between echocardiographic findings and the severity of CAP.
Use of extracorporeal membrane oxygenation in severe traumatic lung injury with respiratory failure Shih-Chi Wu, William Tzu-Liang Chen, Hui-Han Lin, Chih-Yuan Fu, Yu-Chun Wang, Hung-Chieh Lo, Han-Tsung Cheng, Chia-Wei Tzeng
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.007
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: February 7 2015
x The use of extracorporeal membrane oxygenation (ECMO) in managing acute respiratory distress syndrome had been accepted. Severe lung injury with respiratory failure is often encountered in trauma patients. We report our experience with the use of ECMO in severe traumatic lung injury.
Clinical application of real-time tele-ultrasonography in diagnosing pediatric acute appendicitis in the ED Changsun Kim, Bo Seung Kang, Hyuk Joong Choi, Tae Ho Lim, Jaehoon Oh, Youngjoon Chee
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.048
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 28 2015
x We investigated the effectiveness of tele-mentored ultrasonography between emergency medicine (EM) residents and remote experts in diagnosing acute appendicitis.
Ultrasound detection of the sliding lung sign by prehospital critical care providers Matthew Lyon, Perry Walton, Valori Bhalla, Stephen A. Shiver
DOI: http://dx.doi.org/10.1016/j.ajem.2011.01.009
The American Journal of Emergency Medicine , Vol. 30 , Issue 3 ,
Published online: February 21 2011
x The presence of the sonographic sliding lung sign (SLS) is a sensitive indicator for the absence of a pneumothorax.
A manifestation of endometriosis that will take your breath away: a case report Gaurav Patel, Brendon Stankard, Robert Gekle, Steve Park, Adam Rucker
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.051
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: November 8 2014
x Pneumothorax should be included in the differential diagnosis of any patient presenting with sudden onset chest pain or dyspnea, and the diagnosis should be made promptly and accurately. Catamenial pneumothorax, although a rare entity, is a possibility that should be considered in menstruating females presenting with chest pain and/or dyspnea. This case serves to demonstrate the effectiveness of point-of-care ultrasonography in making the prompt diagnosis of a pneumothorax, which in this case was a catamenial pneumothorax.
Performance comparison of lung ultrasound and chest x-ray for the diagnosis of pneumonia in the ED Jean-Eudes Bourcier, Julie Paquet, Mickael Seinger, Emeric Gallard, Jean-Philippe Redonnet, Fouad Cheddadi, Didier Garnier, Jean-Marie Bourgeois, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.003
The American Journal of Emergency Medicine , Vol. 32 , Issue 2 ,
Published online: November 4 2013
x The aim of our study was to assess the potential of bedside lung ultrasound examination by the attending emergency physician in the diagnosis of acute pneumonia.
