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Tight-fitting garments as counterpressure devices.

S J Welch, C M Slovis

The Journal of Emergency Medicine

|January 1, 1985

Summary

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Elderly patients with traumatic splenic rupture may rapidly decompensate after removing tight garments. Emergency physicians should consider garments as counterpressure devices and reevaluate patients post-removal.

Area of Science:

Emergency Medicine
Trauma Surgery
Geriatric Medicine

Background:

Traumatic splenic rupture can present insidiously in elderly patients.
Hemodynamic stability can be transient in cases of splenic injury.

Observation:

An elderly woman with traumatic splenic rupture initially presented as hemodynamically stable.
The patient rapidly decompensated immediately after the removal of a tight-fitting girdle.

Findings:

The removal of external counterpressure from a garment can precipitate decompensation in splenic rupture.
Garments can act as temporary tamponade devices, masking the severity of internal bleeding.

Implications:

Emergency physicians must recognize tight-fitting garments as potential counterpressure devices.

Related Experiment Videos

Thorough reevaluation of patients after garment removal is crucial in emergency settings.

Consideration of garment removal as a trigger for decompensation is vital for timely intervention.