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Images in emergency medicine
Cardiac arrest with impending circulatory collapse
  1. Akash P Kansagra,
  2. John-Paul J Yu
  1. Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California, USA
  1. Correspondence to Dr Akash P Kansagra, Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Avenue, M-391, San Francisco, CA 94143-0628, USA; akash.kansagra{at}ucsf.edu

https://doi.org/10.1136/emermed-2012-202139

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    An old patient was brought to the emergency department with cardiac arrest following blunt traumatic injury. After successful cardiopulmonary resuscitation, the patient underwent CT scan which revealed dependent layering of contrast and severe venous reflux (figure 1) as well as lack of forward flow into the left heart (figure 2), indicating impending circulatory collapse. Moments later, the patient became pulseless and severely …

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    Footnotes

    • Contributors APK is the guarantor and accepts full responsibility for the work and/or the conduct of the study. APK had access to the data and controlled the decision to publish. APK and JPY both drafted and revised the manuscript and formatted the images.

    • Funding None.

    • competing interests None.

    • Provenance and peer review Not commissioned; internally peer reviewed.