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Emerg Med J doi:10.1136/emermed-2012-202093
  • Images in emergency medicine

Subcutaneous emphysema and tension pneumomediastinum

  1. Franco Tosato2
  1. 1Dipartimento di Medicina, Università degli Studi di Padova, Padova, Italy
  2. 2Dipartimento di Emergenza ed Accettazione, Azienda Ospedaliera di Padova, Padova, Italy
  1. Correspondence to Dr Federica Stella, Dipartimento di Medicina, Università degli Studi di Padova, Padova, Italy; fede.stella{at}gmail.com
  • Accepted 23 October 2012
  • Published Online First 26 November 2012

An 83-year-old woman was brought to the emergency department (ED) by the Emergency Medical Services (EMS) due to referred anaphylactic shock. While eating, she started choking and her neck and lips swelled. Upon arrival at the ED she was confused, tachycardic and hypotensive (heart rate 130 bpm, blood pressure 86/40 mm Hg); the hypotension was slightly improved by colloid and dopamine infusion. A …