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Original Contributions

Prehospital Pericardiocentesis Using a Pneumothorax Needle

, MD, MPHORCID Icon, , MD, , MD, , NRP, , NRP & , MD
Pages 406-409 | Received 04 Jul 2021, Accepted 01 Sep 2021, Published online: 28 Sep 2021
 

Abstract

Case: We discuss a patient with a penetrating knife wound to the chest who lost pulses from cardiac tamponade. Prehospital ultrasound was able to quickly identify the tamponade and a pericardiocentesis was performed using a Simplified Pneumothorax Emergency Air Release (SPEARTM) Needle (North American Rescue, LLC, USA) with subsequent return of spontaneous circulation. Discussion: Penetrating chest trauma carries significant morbidity and mortality. In traumatic cardiac arrest due to a penetrating mechanism, it is paramount that the patient be transported to a trauma center as quickly as possible. Prehospital pericardiocentesis is a potential life-saving intervention.

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