Use of Polarized Sunglasses During Video Laryngoscopy: A Cause of Difficult Prehospital Intubation

2019 ◽  
Vol 34 (1) ◽  
pp. 104-107
Author(s):  
Adam James Smith ◽  
Ken Jackimczyk ◽  
Bruce Horwood ◽  
Daniel Christenson
Keyword(s):  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Liquid Crystal Display ◽  
Safety Issue ◽  
Polarized Light ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Intubation Attempt ◽  
Publication Type

AbstractBackgroundIn the prehospital setting, many providers advocate for video laryngoscopy as the initial method of intubation to improve the likelihood of a successful first attempt. However, bright ambient light can worsen visualization of the video laryngoscope liquid crystal display (LCD).Case ReportA patient involved in a motor vehicle accident was evaluated by an Emergency Medical Services (EMS) crew. Initial endotracheal intubation attempt using video laryngoscopy was aborted after the patient desaturated. The primary reason for the failure was poor visualization of the video laryngoscope LCD, despite attempts to block direct sunlight. Debriefing revealed that the intubating provider was wearing polarized sunglasses.DiscussionBecause LCDs emit polarized light, use of polarized sunglasses may cause the display to appear dark. Thus, the purpose of this Case Report is to raise awareness of a potential safety issue that is likely under-recognized by prehospital providers but can be easily avoided.SmithAJ, JackimczykK, HorwoodB, ChristensonD. Use of polarized sunglasses during video laryngoscopy: a cause of difficult prehospital intubation.Prehosp Disaster Med. 2019;34(1):104–107.

scholarly journals Traumatic Aortic Injury in a 3-Year-Old Child - A Case Report and Literature Review

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Aljohani M ◽  
◽  
Alanazi S ◽  
Keyword(s):  
Case Report ◽  
Significant Contribution ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Aortic Injury ◽  
Vehicle Accidents ◽  
Vehicle Accident ◽  
Pseudo Aneurysm ◽  
High Index Of Suspicion ◽  
Tomography Scan

This case report describes a case of aortic injury with pseudo-aneurysm in a 3-year-old Saudi boy following a motor vehicle accident. The diagnosis was suspected on computed tomography scan, and emergency surgery was performed. A Dacron graft was inserted to repair the injured aorta. Postoperatively, absent femoral, and distal pulses were noted, and thromboembolectomy was performed with good outcome. We believe that our study makes a significant contribution to the literature because it raises awareness of aortic injury and rupture in pediatric patients with multi-organ trauma following motor vehicle accidents. A high index of suspicion and early intervention are essential in improving outcomes.

scholarly journals Nutcracker Cuboid Fracture: A Case Report and Review

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Alan Lucerna ◽  
James Espinosa ◽  
Nicholas Butler ◽  
Ashley Wenke ◽  
Nicole Caltabiano
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Associated Injuries ◽  
Vehicle Accident ◽  
Isolated Fracture ◽  
Principles Of Treatment

Here we report the case of a 20-year-old female restrained driver who presented to the emergency department (ED) after a motor vehicle accident. She sustained an isolated fracture of her left cuboid, consistent with a nutcracker cuboid fracture. A cuboid fracture is considered rare. It is even more uncommon for a cuboid fracture to occur in isolation, without other associated injuries to the foot. We discuss the mechanism, relevant anatomy, diagnosis, and principles of treatment of the nutcracker cuboid fracture.

Case Report can Firearm Lead to Motor Vehicle Accident: A Unique Case

2014 ◽  
Vol 14 (1) ◽  
pp. 169
Author(s):  
Vinod Kumar Garg ◽  
Ramakant Verma ◽  
Shailender Kumar ◽  
Narendra Vaishnawa ◽  
P C Vyas
Keyword(s):  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Unique Case ◽  
Vehicle Accident

Boots Are Not Made for Driving: A Cautionary Case Report About the Dangers of Driving in a CAM Walker Boot and Literature Review

2018 ◽  
Vol 11 (6) ◽  
pp. 559-562
Author(s):  
Michael J. Symes ◽  
Mario Escudero ◽  
Irfan Abdulla ◽  
Andrea Veljkovic ◽  
Scott Paquette ◽  
...  
Keyword(s):  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Experimental Studies ◽  
Real Life ◽  
Educational Tool ◽  
Ankle Motion ◽  
Vehicle Accident ◽  
Severity Of Injury ◽  
Lower Limb Surgery

This case report is the first documented case of a serious motor vehicle accident caused by a patient driving in a controlled ankle motion (CAM) walker boot. The real-life nature and severity of injury in this case supplements the existing experimental studies on the dangers of driving while immobilized in a CAM boot and is likely to resonate strongly with both patients and surgeons. With CAM boots used so commonly after lower limb surgery, this case not only has the potential to change practice as an educational tool for patients but also raises important medicolegal implications for orthopaedic surgeons. Levels of Evidence: Level V

scholarly journals Malignant Glomus Tumor of the Kidney: A Case Report and Review of the Literature

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S73-S73
Author(s):  
J Nwanze ◽  
J Shih ◽  
N Rolf ◽  
S K Halat
Keyword(s):  
Case Report ◽  
Glomus Tumor ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Case Reports ◽  
Smooth Muscle Actin ◽  
Mitotic Figure ◽  
Arteriovenous Anastomosis ◽  
Posterior Aspect ◽  
Glomus Tumors

Abstract Introduction/Objective Glomus tumors are rare neoplasms arising from the glomus body which is a specialized arteriovenous anastomosis that has a role in temperature regulation of the skin. They account for less than 2% of soft tissue tumors and typically manifest as painful nodules in the extremities, most commonly in the subungual region of the fingers and dermis of the wrist, forearm, and foot. They rarely arise in visceral organs as they lack glomus bodies. There are rare case reports of benign glomus tumors arising in the kidney, and malignant renal glomus tumors are exceedingly rare. Methods/Case Report We present a case of a 32-year-old man who was found to have a right renal mass incidentally after being involved in a motor vehicle accident. Computed tomography of the abdomen revealed a 5.3 cm enhancing mass in the posterior aspect of the inferior pole of the right kidney. Histological examination revealed a solid neoplasm composed of a pleomorphic population of cells with densely eosinophilic to pale cytoplasm, centrally located round to oval nuclei with fine nuclear chromatin and relatively inconspicuous nucleoli. Prominent lymphovascular invasion and 1 mitotic figure per 10 high power fields were also present. Areas composed of necrosis, sclerosis, hemosiderin deposition and calcification were identified. Immunohistochemical stains revealed the neoplastic cells to be positive for CD34, vimentin, smooth muscle actin, caldesmon, with focal reticulin staining around the tumor cells. Cells were negative for desmin, high and low molecular weight cytokeratins, synaptophysin, chromogranin, PAX8, and GATA3. The morphology and immunoprofile of the mass are consistent with the diagnosis of glomus tumor. Results (if a Case Study enter NA) NA Conclusion Although very rare, the presence of prominent vascular invasion, increased mitotic activity as well as necrosis are consistent with malignant behavior and support the classification as a malignant glomus tumor.

scholarly journals Case Report: Lesson Learned from Rehabilitation Medicine Point of View for an Elderly with Normal Pressure Hydrocephalus

2021 ◽  
Vol 9 (C) ◽  
pp. 133-135
Author(s):  
Irma Ruslina Defi ◽  
Andre Andre ◽  
Sunaryo Barki Sastradimadja ◽  
Ahmad Faried
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Normal Pressure Hydrocephalus ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Normal Pressure ◽  
Gait Disturbance ◽  
Physical Medicine ◽  
Rehabilitation Intervention ◽  
Physical Medicine And Rehabilitation

BACKGROUND: Normal pressure hydrocephalus (NPH) is characterized by an abnormal buildup of cerebrospinal fluid in the ventricles or cavities of the brain. The objective of the case report was to define the importance of physical medicine and rehabilitation intervention as an approach for an elderly patient with NPH. CASE REPORT: A 75-year-old woman presented with a balance and gait disturbance after injury from a motor vehicle accident. The patient experience Hakim’s triad (gait disturbance, urinary frequency, and mild cognitive impairment), and her computed tomography scan of the head revealed ventriculomegaly, multiple lacunar infarctions on the paraventricle, and cerebral atrophy, which could indicate NPH. Balance and gait training, cardiopulmonary training, and environment modification were interventions from physical medicine and rehabilitation provided to this patient. CONCLUSION: An elderly patient with NPH should receive physical medicine and rehabilitation intervention to prevent falls, improve functional ability, and improve quality of life.

scholarly journals Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

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