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Emergency Medicine Journal 2007;24:596-597; doi:10.1136/emj.2006.045567
© 2007 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine

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EMERGENCY CASEBOOK

Chest compressions for a patient in cardiac arrest after penetrating trauma with a knife still in situ

Thomas McCarthy, Bozena Lassota-Korba, Tony O’Leary, Richard Knight, Paul Murphy, Rajesh Pandey

Pilgrim Hospital, Boston, Lincolnshire, UK

Correspondence to:
Correspondence to:
Dr Thomas McCarthy
Pilgrim Hospital, Sibsey Rd, Boston, Lincolnshire, PE21 9QS, UK; tmccarthy{at}doctors.org.uk


ABSTRACT
A 45-year-old man was brought by ambulance to the emergency department. He was in shock, with a knife handle protruding from his abdomen. His pulse became undetectable. With the knife still in situ, external cardiac massage was provided on immediate transfer to the operating theatre. Resuscitation and haemostasis were achieved and the patient was eventually discharged from hospital. This case report discusses the risks of chest compressions for trauma patients with a penetrating weapon still in situ.








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© 2007 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine