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Published on: May 19, 2022

Cardiogenic Versus Obstructive Shock as a Consequence of Road Traffic Accidents: A Case Report on Approach

Azri Salih Haji Sgery1, Philip Fathil Essa1, Dilbar Lhon Sultan1

  • 1Azadi Emergency Hospital, Duhok, Iraq.

Case Reports in Cardiology
|August 18, 2026
PubMed

Insights

This case study highlights the successful resuscitation of cardiac tamponade in a trauma patient using emergency sonography and needle pericardiocentesis. Rapid diagnosis and intervention are crucial for survival in these critical cases.

Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Cardiology

Background:

  • Cardiac tamponade is a life-threatening condition caused by pericardial fluid accumulation.
  • Emergency sonography (E-FAST) is critical for diagnosing hidden injuries in trauma patients.
  • Prompt recognition and management of cardiac tamponade are essential.

Purpose of the Study:

  • To present a case of successful resuscitation of cardiac tamponade.
  • To emphasize the role of E-FAST in trauma assessment.
  • To highlight the efficacy of needle pericardiocentesis.

Main Methods:

  • A case of an 18-year-old male trauma patient with hemodynamic instability.
  • Diagnosis of cardiac tamponade using E-FAST, excluding tension pneumothorax.
  • Immediate needle pericardiocentesis for fluid drainage.

Main Results:

  • Successful resuscitation following needle pericardiocentesis.
  • Drainage of 810 mL of blood and fluid.
  • Patient discharged after intensive care and ward stay.

Conclusions:

  • Beck's triad and bradycardia are key indicators of cardiac tamponade.
  • E-FAST is vital for excluding tamponade in hypotensive trauma patients.
  • Needle pericardiocentesis is a life-saving emergency procedure.
Abstract

Keywords:
Beck′s triadE-FASTcardiac tamponadecase reporthemopericardiumroad traffic accident

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