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Images in emergency medicine
Near death by central line
  1. Hsiang Chung1,
  2. Henry C C Pleass1,2,
  3. Lawrence P K Yuen1,2,
  4. 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

https://doi.org/10.1136/emermed-2013-202544

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    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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    Footnotes

    • Contributors HC contributed in study planning, conducting and reporting of this manuscript. VWTL: Guarantor of this manuscript; contributed in study planning, conducting and reporting of this manuscript. LPKY contributed in study planning, conducting and reporting of this manuscript. HCCP contributed in study planning, conducting and reporting of this manuscript.

    • Competing interests None.

    • Patient Consent Obtained.

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