院外小儿钝性外伤性休克存活并完全恢复神经功能:病例报告

Q3 Nursing Air Medical Journal Pub Date : 2024-05-01 DOI:10.1016/j.amj.2023.12.007
Zachary T. Fica MD, MS , Amy Marquez MSN, CFRN , John Ehrhart FPC , Christian Sloane MD
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引用次数: 0

摘要

我们介绍了这样一个病例:一名原本健康的 10 岁男性因腹部外伤导致院外心脏骤停,出院时神经功能恢复良好,几乎完全恢复了基线功能状态。尽管伤势严重,包括腹部内伤(预计死亡率高)、院外创伤性骤停、凝血功能障碍和儿科重症监护室住院时间延长,但快速反应和高效的资源调动使患者获得了极佳的治疗效果。本病例强调了及时采取高级创伤生命支持干预措施的重要性,尤其是早期使用血液制品、高效转运和气道管理,同时分享了一个院外小儿创伤性休克且几乎完全康复的杰出病例。
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Survival of Out-of-Hospital Pediatric Blunt Traumatic Arrest With Full Neurologic Recovery: Case Report

We present the case of a 10-year-old previously healthy male who suffered an out-of-hospital cardiac arrest because of abdominal trauma and survived with excellent neurologic outcomes and near complete return to baseline functional status at hospital discharge. The rapid response and efficient mobilization of resources led to an excellent patient outcome despite the severity of injuries, including intra-abdominal injuries with expected mortality, out-of-hospital traumatic arrest, coagulopathy, and an extended pediatric intensive care unit stay. This case underscores the significance of timely advanced trauma life support interventions, especially early blood product administration, efficient transport, and airway management, while sharing a remarkable case of out-of-hospital pediatric traumatic arrest with near full recovery.

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来源期刊
Air Medical Journal
Air Medical Journal Nursing-Emergency Nursing
CiteScore
1.20
自引率
0.00%
发文量
112
审稿时长
69 days
期刊介绍: Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.
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