Citation

Wu HY, Sun JT, Hsieh CC, Chu SE, Chiang WC, Ma MHM, Huang CY. Ann. Emerg. Med. 2022; 80(1): 86-94.

Copyright

(Copyright © 2022, American College of Emergency Physicians, Publisher Elsevier Publishing)

DOI

10.1016/j.annemergmed.2022.01.018

PMID

35717118

Abstract

A 56-year-old man with shortness of breath, severe chest pain, and cold sweats after a motor vehicle crash presented to the emergency department (ED). He had low blood pressure (80/54 mm Hg), tachycardia (118 beats/min), and low Glasgow Coma Scale score (E3V4M5). He was intubated immediately on arrival because of shock. Extended focused assessment with sonography for trauma showed no hemopneumothorax, pericardial effusion, or intra-abdominal free fluid. Portable chest radiography was performed (Figure 1). Because the patient was hemodynamically unstable and a blunt aortic injury was suspected, focused transesophageal echocardiography was performed immediately by an emergency physician in the ED (Figure 2, Video E1 [available at http://www.annemergmed.com/]).

Language: en