Evidence map›Paper›PMID 42417945›Full record

ArticleInternal and emergency medicine2026

The great mimic: how E-FAST unmasked a cardiac rupture masquerading as head trauma.

Biagio Migliaccio, Francesca Delgado, Nicola Crispino, Giovanna Guiotto

Abstract read
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In one paragraph

Article in Internal and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Biagio MigliaccioEmergency Medicine Univesity of Federico II, Emergency Medicine Ospedale del Mare, Naples, Italy. biagiomigliaccio8@gmail.com.ORCID http://orcid.org/0000-0003-2672-7534
Francesca DelgadoEmergency Medicine Univesity of Federico II, Emergency Medicine Ospedale del Mare, Naples, Italy.
Nicola CrispinoEmergency Medicine Univesity of Federico II, Emergency Medicine Ospedale del Mare, Naples, Italy.
Giovanna GuiottoEmergency Medicine Univesity of Federico II, Emergency Medicine Ospedale del Mare, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 50-year-old man was brought to the Emergency Department (ED) following a loss of consciousness (LOC) at his workplace. Although the initial presentation suggested a traumatic etiology, the systematic application of E-FAST (Extended Focused Assessment with Sonography for Trauma) revealed a large pericardial effusion, leading to the diagnosis of cardiac rupture secondary to subacute myocardial infarction. This case highlights the critical role of point-of-care ultrasound in the early evaluation of undifferentiated LOC and trauma, enabling rapid identification of life-threatening non-traumatic conditions.

Indexed as

Cardiac ruptureEchoEFASTHead traumaMyocardial infarction

Identifiers

PMID42417945

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.