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Related Experiment Videos

Hemorrhagic shock from breast blunt trauma.

Bryan Madden1, Mayura Phadtare, Zeina Ayoub

  • 1Department of Emergency Medicine, Memorial Hermann Hospital, Houston, TX, USA, Madden.Bryan@gmail.com.

International Journal of Emergency Medicine
|September 3, 2015
PubMed
Summary

Seat belt use can cause severe breast trauma, including life-threatening intramammary bleeding. Emergency physicians must recognize and manage this uncommon but serious injury effectively.

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Radiology

Background:

  • Seat belt use is linked to fewer severe thoracic injuries but an increase in soft-tissue injuries like breast trauma.
  • Breast trauma from seat belts can lead to significant complications, including hemorrhagic shock.

Purpose of the Study:

  • To report a case of hemorrhagic shock due to intramammary hemorrhage from a motor vehicle accident.
  • To review the literature on seat belt-associated breast trauma and its emergency department management.

Main Methods:

  • Case report of a young female presenting with hemorrhagic shock after a motor vehicle accident.
  • Management included blood products, external binder, and transfer for angiographic embolization.
  • Literature review on seat belt-induced breast trauma.

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Main Results:

  • The patient experienced hemorrhagic shock from an intramammary hematoma.
  • Successful treatment was achieved through angiographic embolization.
  • Literature review highlights the rarity but potential severity of seat belt-associated breast trauma.

Conclusions:

  • Seat belt-associated breast trauma is rare in emergency medicine literature.
  • This injury can present with life-threatening intramammary bleeding.
  • Emergency physicians need awareness and preparedness for managing these cases.