case_images: PMC10640802_01
case_images: Bilateral needle decompression at second intercostal space; notice blood emerging from laterally placed left catheter directed downward and medially, it is not perpendicular to the chest wall.
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case_images: The second left-sided anterior catheter started to drain dark blood (Figure 1); the patient became hypotensive; a repeated eFAST examination revealed pericardial tamponade (Figure 2).
case_images: eFAST with evidence of pericardial fluid (Tamponade) on subxiphoid view (3 arrows).
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case_images: The second left-sided anterior catheter started to drain dark blood (Figure 1); the patient became hypotensive; a repeated eFAST examination revealed pericardial tamponade (Figure 2).
case_images: Intraoperative view of the lung injury (through and through).
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case_images: Exploration revealed a through-and-through lung injury (Figure 3), with an anterior puncture to the pulmonary artery just distal to its emergence from the right ventricle.
case_images: Repair of cardiac injury with Proline 4/0 "Figure of 8" technique.
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case_images: Proline 4:0 sutures (Figure 4). Postoperatively, computed tomography (CT) of the head showed a severe head injury and a decompressive craniectomy was performed.
case_images: PMC10640802_02
case_images: Case II: the needle decompression(ND) directed medially toward the heart. It shows misplacement of the needle decompression (it should be midclavicular), and markers of repeated attempts are also misplaced.
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case_images: The trauma team noticed that the decompressing needle was medially directed and pulsating, and therefore, a chest x-ray was obtained (Figures 5 and 6).
case_images: Case II: chest x-ray shows the decompression catheter touching the heart.
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case_images: The trauma team noticed that the decompressing needle was medially directed and pulsating, and therefore, a chest x-ray was obtained (Figures 5 and 6).
case_images: Case II: computed tomography scan of the chest showing a pneumopericardium.
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case_images: A CT scan showed extensive pneumopericardium, pneumomediastinum, and subcutaneous emphysema extending to the neck (Figures 7 and 8).
case_images: Case II: subcutaneous emphysema that extended to the root of the neck.
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case_images: A CT scan showed extensive pneumopericardium, pneumomediastinum, and subcutaneous emphysema extending to the neck (Figures 7 and 8).