BACKGROUND Induced hypothermia after cardiac arrest is an accepted neuroprotective strategy. However, its role in cardiac arrest during acute trauma care is not yet defined. To characterize recent experience with this technique at our center, we undertook a detailed chart review of acute trauma patients managed with induced hypothermia after cardiac arrest. PATIENTS From Trauma Registry recor...

More than 1000 patients die each day from out-of-hospital cardiac arrest. Although the reasons are multifactorial, it is remarkable that more than 50% of patients who are brought to the hospital alive after immediate resuscitation never survive to hospital discharge. Ultimate functional survival after an out-of-hospital cardiac arrest in the United States is approximately 5%. Patients die from ...

RATIONALE Trauma is the leading cause of death for patients aged less than 40 years. Trauma patients with cardiac arrest have low survival rates, the resuscitation being often considered futile and consumptive of medical and human resources. OBJECTIVE The aim of this study is to describe the main characteristics in cases of patients critically traumatized, who were admitted in our emergency d...

traumatic coronary artery-cameral fistulas (tcaf) are rare and may present secondary to penetrating injuries (80%) or iatrogenic traumas. early operative intervention remains the recommended treatment modality for accidental traumatic coronary artery fistulas. we report the case of a 17-year-old man who presented with left anterior descending coronary artery-right ventricle fistula following pe...

BACKGROUND Cardiovascular injuries after trauma present with high mortality. The aim of the study was to present our experience in cardiac and great vessel injuries after chest trauma. METHODS During the 10-year period, 104 patients with cardiac (n=94) and great vessel (n=10) injuries presented to our hospital. The demographic data, mechanism of injury, location of injury, other associated in...

Hemopericardium with cardiac tamponade after non-penetrating chest trauma is a very rare but life-threatening condition. If this complication develops after an interval of several weeks following the non-penetrating chest trauma, the causal relation with the traumatic event is less evident, which may delay proper diagnosis and adequate treatment. We describe diagnosing and therapeutic managemen...

Blunt chest trauma and its associated complications represent a rare cause of cardiac arrest in a healthy child, although an increasing number of these events have been reported. Victims are most often diagnosed in ventricular fibrillation or tachycardia. However, cardiac conduction abnormalities are also reported. In this report, a healthy adolescent with supraventricular tachycardia associate...

Cardiac electrophysiological dysfunction is a major cause of death in humans. Accordingly, electrophysiological testing is routinely performed in intact, conscious, humans to evaluate arrhythmias and disorders of cardiac conduction. However, to date, in vivo electrophysiological studies in mice are limited to anesthetized open-chest or closed-chest preparations. However, cardiac electrophysiolo...

Cardiac rupture after blunt trauma is rare and associated with high mortality. The anatomic pattern of blunt cardiac rupture has been demonstrated with the right cardiac chambers more frequently affected than the left. Furthermore, left atrial injury is usually restricted to the atrial appendage and the pulmonary vein-atrial junction. Herein, we report the first case of a 61-year old man with a...