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J Korean Soc Emerg Med > Volume 15(6); 2004 > Article
Journal of The Korean Society of Emergency Medicine 2004;15(6): 639-642.
Cardiac Tamponade from Chest Trauma During Snowboarding
Jeong Yeol Seo, Moo Eob Ahn, Hee Cheol Ahn, Jae Bong Chung, Sung Eun Kim, Gi Hoon Choi, Ji Hoon Bae, Goang Min Choi, Hyung Soo Kim, Jun Hwi Cho, Chan Woo Park, Taek Gun Ok, Ki Cheol You
1Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, Korea.
2Department of Cardiovascular Surgery, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, Korea.
3Department of Emergency Medicine, College of Medicine, Kangwon National University, Chuncheon, Korea. cjhemd@kangwon.ac.kr
ABSTRACT
As snowboarding has become one of the most popular winter sports, lots of young people enjoy it and they have become the center of this winter sports. However, this increased number of snowboarding lovers results in raising the number of injuries. In the case of severe chest injury caused by snowboarding can be a source of a serious injury such as cardiac tamponade. The development of cardiac tamponade is an acute, life-threatening emergency. To test a cardiac tamponade, a patient with chest trauma should be diagnosed from the information given by a physical examination and simple chest radiography. If the heart is doubted to be wounded, an emergency echocardiography has to be executed. An emergency treatment for the cardiac tamponade patient is to normal saline infusion quickly to augment the capacity of a blood vessel. Extremely, surgeries such as pericardiocentesis or pericardiotomy can be applied to ease the pressure inside the heart. Some patients with chest blunt trauma while snowboarding developed cardiac tamponade and they were successfully recovered through pericardiocentesis. This precedent is reported here with the consideration of the references.
Key words: Chest Injuries, Cardiac tamponade, Snowboarding
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