Death by Disimpaction: A Bradycardic Arrest Secondary to Rectal Manipulation
Keyword(s):
Rectal examination and fecal disimpaction are common procedures performed in the Emergency Department on a daily basis. Here, we report a rare case of a patient suffering a cardiac arrest and ultimately death likely due to rectal manipulation. A 66-year-old male presented to the Emergency Department (ED) with a complaint of abdominal distention and constipation. A rectal exam was performed. During the examination the patient became apneic. On the cardiac monitor the patient was found to be in pulseless electrical activity with a bradycardic rate. Our recommendation would be to provide adequate analgesia and close patient monitoring of those undergoing this procedure especially patients with significant stool burdens.
2015 ◽
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pp. 495-501
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2002 ◽
Vol 347
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pp. 1281-1282
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2017 ◽
Vol 10
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2019 ◽
Vol 19
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pp. 152-153