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Emerg Med J doi:10.1136/emermed-2013-202544
  • Images in emergency medicine

Near death by central line

  1. Vincent W T Lam1,2
  1. 1Department of Surgery, Westmead Hospital, Westmead, New South Wales, Australia
  2. 2Discipline of Surgery, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to Dr Vincent Lam, Department of Surgery, Westmead Hospital, Westmead, NSW 2145, Australia; vincent.lam{at}sydney.edu.au
  • Accepted 13 March 2013
  • Published Online First 4 April 2013

A 67-year-old man presented to Emergency Department with acute epigastric pain, tachycardia and hyperamylasaemia. The provisional diagnosis of acute pancreatitis was made and a femoral central line was inserted for fluid resuscitation. One hour later, the patient had a sudden witnessed ventricular fibrillation arrest (2 min duration) necessitating cardiopulmonary resuscitation, cardiac defibrillation and intravenous adrenaline administration. He …


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