ArticleCase reports in cardiology2026
Cardiogenic Versus Obstructive Shock as a Consequence of Road Traffic Accidents: A Case Report on Approach.
Article in Case reports in cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Cardiogenic Versus Obstructive Shock as a Consequence of Road Traffic Accidents: A Case Report on Approach.Case reports in cardiology · 2026Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background and Introduction: Cardiac tamponade is a medical/traumatic emergency characterized by the increased intrapericardial pressure from the accumulation of excessive fluid (either exudate, transudate, or blood) in the pericardium. Emergency sonography is a vital part of the rapid assessment of cases with traffic accidents and chest traumas, as pericardial injuries are among the hidden affected organs. Here, we present a case of successful resuscitation of cardiac tamponade. Case Presentation: An 18-year-old male presented as a case of a traffic accident within 30 min with hemodynamic instability from bradycardia, hypotension, decreased Glasgow Coma Scale, and distended jugular venous pressure. Bilateral air entry was present, with the aid of E-FAST, tension pneumothorax was excluded, and cardiac tamponade was diagnosed. Immediately, needle pericardiocentesis was done under the supervision of a senior traumatologist, followed by rapid improvement. A central venous line was inserted in the pericardium for continuous drainage. A total of 810 mL of blood and serosanguineous fluid were drained. The patient was discharged home after 4 days of intensive care stay and 1 day in the ward. Discussion: Beck's triad, along with bradycardia, indicates cardiac tamponade until proven otherwise. Any case presenting with features of hypotension, especially following trauma to the chest, should have tamponade excluded by using E-FAST. Needle pericardiocentesis is a life-saving procedure that can provide immediate relief through aspiration of the pressure.
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