Use of an Endotracheal Tube for a Thoracostomy in a Child in Cardiac Arrest: A Case Report

IF 1.3 4区医学 Q3 EMERGENCY MEDICINE Journal of Emergency Medicine Pub Date : 2025-04-01 Epub Date: 2024-11-06 DOI:10.1016/j.jemermed.2024.10.006

Kunj Bhatt MD, Jacob Ziff MD, Duncan Grossman DO, Julia Tokarski MD

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Abstract

Background

Traditionally, when patients arrive at an emergency department in cardiac arrest with a concern for a pneumothorax, a thoracostomy tube is placed for decompression. A literature review found no case reports of an endotracheal tube being used in lieu of a thoracostomy tube for a pneumothorax in a child in cardiac arrest.

Case Report

A case of a 4-week-old female infant who presented to the emergency department in cardiac arrest with a pneumothorax is discussed.

Why Should an Emergency Physician Be Aware of This?

It is important for clinicians to be aware of alternative management strategies for the management of a pneumothorax. This case suggests that an endotracheal tube being used as a thoracostomy tube in a child in cardiac arrest can help acutely treat a pneumothorax by providing immediate and continuous decompression. In a prehospital or low-resource setting, an endotracheal tube may offer benefits similar to a thoracostomy tube as an immediate treatment modality.

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在心脏骤停的儿童中使用气管插管开胸术：1例报告。

背景：传统上，当心脏骤停患者因担心气胸而到达急诊科时，会放置开胸管进行减压。一项文献综述发现，在心脏骤停的儿童气胸患者中，没有使用气管内插管代替开胸插管的病例报告。病例报告：一个4周大的女婴谁提出了心脏骤停急诊科与气胸是讨论。急诊医生为什么要意识到这一点？对于临床医生来说，了解气胸的其他治疗策略是很重要的。本病例提示，在心脏骤停的儿童中使用气管内管作为开胸管可以通过提供即时和持续的减压来帮助急性治疗气胸。在院前或资源匮乏的情况下，气管内插管作为一种即时治疗方式可以提供与开胸管类似的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine