TY - JOUR PY - 2022// TI - A man with severe chest pain after a motor vehicle crash JO - Annals of emergency medicine A1 - Wu, Hsin-Yi A1 - Sun, Jen-Tang A1 - Hsieh, Chien-Chieh A1 - Chu, Sheng-En A1 - Chiang, Wen-Chu A1 - Ma, Matthew Huei-Ming A1 - Huang, Chun-Yen SP - 86 EP - 94 VL - 80 IS - 1 N2 - 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
LA - en SN - 0196-0644 UR - http://dx.doi.org/10.1016/j.annemergmed.2022.01.018 ID - ref1 ER -