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A Case Report of Extra-pericardial Tamponade From a Low-Level Fall
Gillian Judge1, Waslat Bakhshi1, Fiona Sands2
1Emergency Medicine, Mater Misericordiae University Hospital, Dublin, IRL.
Cureus
|December 17, 2024
Summary
A 61-year-old man on apixaban developed a large mediastinal hematoma after a fall. Prompt reversal of anticoagulation with andexanet alpha and emergency surgery led to a full recovery.
Area of Science:
- Emergency Medicine
- Cardiology
- Trauma Surgery
Background:
- Falls from low height are a growing public health concern, especially in older adults.
- Patients on direct oral anticoagulants (DOACs) require careful consideration for reversal agents in trauma.
- Expanding mediastinal hematomas are rare, particularly anterior ones from simple falls.
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