scholarly journals Cardiac Arrest in the Airport Revealing Cocaine Body Packing: A Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Dabor Resiere ◽  
Hossein Mehdaoui ◽  
Bruno Megarbane
Keyword(s):  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Flight Attendants ◽  
Emergency Physicians ◽  
Body Packing ◽  
Charles De Gaulle ◽  
Cross Border ◽  
Cardiac Symptoms ◽  
Life Threatening ◽  
De Gaulle

Ingestion of large amounts of cocaine packages is a well-known method for cross-border transportation. Intestinal obstruction and life-threatening sympathomimetic toxidrome including seizures, ventricular dysrhythmia, and cardiac arrest resulting from the rupture of cocaine packages may occur. Here, we report a case of a 34-year-old pregnant woman who had a sudden cardiac arrest while waiting for her bags at Paris-Charles de Gaulle Airport, France. According to the flight attendants, the patient travelled from Brazil and complained of abdominal pain during the flight. After resuscitation, the patient presented sustained tachycardia and convulsions suggesting cocaine overdose caused by body packing. Once admitted to the hospital, laparotomy was performed allowing the extraction of 50 cocaine packages. Cardiac symptoms were attributed to the rupture of five of the packages. Prehospital and emergency physicians need to be aware of the possibility of cocaine overdose by body packing in patients presenting sudden cardiac arrest in airports.

Life-threatening and major cardiac events during long-distance races: updates from the prospective RACE PARIS registry with a systematic review and meta-analysis

2020 ◽  
pp. 204748732094300
Author(s):  
Benoît Gerardin ◽  
Paul Guedeney ◽  
Anne Bellemain-Appaix ◽  
Thomas Levasseur ◽  
Hazrije Mustafic ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Clinical Symptoms ◽  
Meta Analysis ◽  
Heat Stroke ◽  
Sudden Cardiac Arrest ◽  
Cardiac Events ◽  
Long Distance ◽  
Exertional Heat Stroke ◽  
Life Threatening ◽  
Long Distance Race

Aims Limited data exist regarding the incidence and aetiology of life-threatening events such as major cardiac events or exertional heat stroke during long-distance races. We aimed to provide an updated incidence, etiology and prognosis of life-threatening events during long-distance races. Methods The prospective RACE PARIS registry recorded all life-threatening events/fatal events occurring during 46 marathons, half-marathons and other long-distance races in the Paris area between 2006 and 2016, comprising 1,073,722 runners. Event characteristics were determined by review of medical records and interviews with survivors. Results The incidence of life-threatening events, exertional heat stroke and major cardiac events was 3.35 per 100,000, 1.02 per 100,000 and 2.33 per 100,000, respectively, including 18 sudden cardiac arrests (1.67 per 100,000). The main aetiology of sudden cardiac arrest was myocardial ischaemia (11/18), due to acute coronary thrombosis (6/11), stable atherosclerotic coronary artery disease (2/11), coronary dissection (1/11), anomalous connection (1/11) or myocardial bridging (1/11). A third of participants with ischaemia-related major cardiac events presented with pre-race clinical symptoms. Major cardiac events were more frequent in the case of a high pollution index (6.78 per 100,000 vs. 2.07 per 100,000, odds ratio 3.27, 95% confidence interval 1.12–9.54). Case fatality was low (0.19 per 100,000). Similarly, we report in a meta-analysis of eight long-distance race registries comprising 16,223,866 runners a low incidence of long-distance race-related sudden cardiac arrest (0.82 per 100,000) and fatality (0.39 per 100,000). Death following sudden cardiac arrest was strongly associated with initial asystole or pulseless rhythm. Conclusion Long-distance race-related life-threatening events remain rare although serious events. Better information for runners on the risk of pre-race clinical symptoms, outside air pollution and temperature may reduce their incidence.

Possible GoLytely-Associated Cardiac Arrest: A Case Report and Literature Review

2019 ◽  
Vol 33 (3) ◽  
pp. 364-367 ◽  
Author(s):  
Yoonsun Mo ◽  
Shiv Gandhi ◽  
Jose Orsini
Keyword(s):  
Cardiac Arrest ◽  
Abdominal Pain ◽  
Sudden Cardiac Arrest ◽  
Lower Abdominal Pain ◽  
The Past ◽  
Life Threatening ◽  
History Of ◽  
Artery Disease ◽  
Possible Cause

Purpose: To report a case of sudden cardiac arrest possibly associated with the administration of GoLytely® (polyethylene glycol 3350 and electrolytes). Summary: A 60-year-old male with a history of hypertension, hyperlipidemia, type 2 diabetes, and coronary artery disease presented to the emergency department with complaints of constipation and lower abdominal pain over the past week, and the inability to urinate over the past day. The patient had received GoLytely as treatment to alleviate symptoms of constipation and abdominal pain. However, several hours after administration of the bowel prep solution, the patient suffered an episode of cardiac arrest. After ruling out other possible etiologies, GoLytely was suspected as a possible cause of cardiac arrest. The patient had suffered an anoxic brain injury and remained intubated and unconscious until he eventually expired, 20 days after the event. Conclusion: Although GoLytely appears to be a safe agent with fewer side effects, clinicians need to be mindful of potential life-threatening adverse events following GoLytely administration and monitor patients closely during and after administration.

scholarly journals Successful Treatment of a Patient with Cardiac Arrest Due to Hyperkalemia by Prolonged Cardiopulmonary Resuscitation along with Hemodialysis: A Case Report and Review of the Literature

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 810
Author(s):  
Nuri Kose ◽  
Ferruh Bilgin
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Conventional Treatment ◽  
Femoral Vein ◽  
Sudden Cardiac Arrest ◽  
Review Of The Literature ◽  
Life Threatening ◽  
Severe Hyperkalemia ◽  
The Right ◽  
Cardiac Emergency

Severe hyperkalemia is a potentially life threatening cardiac emergency, especially in patients with renal failure, and can lead to fatal arrhythmias such as ventricular fibrillation or asystole, leading to cardiac arrest. We report a case of a 39-year-old woman who developed sudden cardiac arrest secondary to hyperkalemia (9.95 mEq/L) with renal insufficiency. Despite 20 min of cardiopulmonary resuscitation (CPR) and conventional treatment for hyperkalemia, the cardiac arrest persisted. Hemodialysis was then initiated via the right femoral vein during CPR, and the patient restored spontaneous heartbeat 40 min later. Hemodialysis should be considered in the course of CPR in severe hyperkalemia induced cardiac arrest if conventional therapies fail.

School Nurses on the Front Lines of Healthcare: Emergencies Associated With Sport and Physical Activities (Part 2): Sudden Cardiac Arrest, Hypovolemic Shock, and Spinal Cord Injury

2021 ◽  
pp. 1942602X2110460
Author(s):  
Thomas P. Swaffield ◽  
Robert P. Olympia
Keyword(s):  
Physical Activity ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cardiac Arrest ◽  
Sudden Cardiac Arrest ◽  
Hypovolemic Shock ◽  
The United States ◽  
Physical Activities ◽  
Cord Injury ◽  
Life Threatening

Sport participation is an important part of the development, both physically and mentally, of children and adolescents in the United States. Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life-threatening illnesses or injuries may occur. It is important for the school nurse to recognize potential life-threatening emergencies associated with sport and physical activity, to initiate stabilization of the student with life-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider’s office, or directly to the closest emergency department via Emergency Medical Services). This article specifically describes the initial assessment and management of three potentially life-threatening conditions associated with sport and physical activity, namely sudden cardiac arrest, hypovolemic shock, and spinal cord injury.

scholarly journals Sudden cardiac arrest associated with myxedema coma due to undiagnosed hypothyroidism: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Asami Yoshinaka ◽  
Masayuki Akatsuka ◽  
Shuji Yamamoto ◽  
Michiaki Yamakage
Keyword(s):  
Cardiac Arrest ◽  
Differential Diagnosis ◽  
Physical Examination ◽  
Sudden Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Clinical Findings ◽  
Neurological Dysfunction ◽  
Myxedema Coma ◽  
Threatening Condition ◽  
Life Threatening

Abstract Background Myxedema coma, which occurs due to hypothyroidism, is a rare and life-threatening condition. Some patients have hemodynamic dysfunction, which consequently leads to cardiac arrest. The rarity of this condition makes it difficult to determine the cause of cardiac arrest. It is important to diagnose myxedema coma based on clinical findings, including physical examination and laboratory parameters. We present a case of undiagnosed and untreated hypothyroidism that initially caused myxedema coma and then led to cardiac arrest. Case presentation A 56-year-old woman who had no medical history was transferred to our hospital for the management of return of spontaneous circulation due to sudden cardiac arrest. Findings of laboratory tests revealed that she had hypothyroidism. On physical examination, she was found to have a puffy face, thin eyebrows, and severe systemic non-pitting edema. Therefore, the patient was clinically diagnosed with myxedema coma, which was the cause of cardiac arrest. She was treated with thyroid hormone and hydrocortisone, resulting in improvement in her general condition, except for the neurological dysfunction. Conclusions This case suggests that myxedema coma is caused by undiagnosed and untreated hypothyroidism, leading to sudden cardiac arrest. Our findings are useful in the differential diagnosis of hypothyroidism based on characteristic physical examination findings. Clinicians should be aware of the differential diagnosis of myxedema coma based on findings from physical examination and laboratory testing of thyroid function, and the treatment should be started immediately.

Sudden cardiac death associated with cardiac catheterization in Williams syndrome: a case report and review of literature

2019 ◽  
Vol 29 (4) ◽  
pp. 457-461
Author(s):  
Samer Abu-Sultaneh ◽  
Mercia J. Gondim ◽  
Ryan D. Alexy ◽  
Christopher W. Mastropietro
Keyword(s):  
Cardiac Arrest ◽  
Sudden Cardiac Death ◽  
Williams Syndrome ◽  
Cardiac Death ◽  
Sudden Cardiac Arrest ◽  
Cardiac Catheterisation ◽  
Review Of Literature ◽  
Therapeutic Procedures ◽  
Life Threatening ◽  
Cardiac Manifestations

AbstractWilliams syndrome is a rare genetic disease that affects elastin production, leading to medium and large vessel stenoses and other abnormalities. Cardiac manifestations of Williams syndrome are the most life-threatening, occurring in 80% of children. Children with Williams syndrome are known to be at risk for sudden cardiac death. These tragic events are often precipitated by diagnostic or therapeutic procedures requiring anaesthesia or sedation, such as cardiac catheterisation. We present the case of a 3-month-old infant with Williams syndrome who suffered sudden cardiac arrest during cardiac catheterisation and subsequent arrest approximately 48 hours after the procedure. We also review the current literature focused on children with Williams syndrome who have suffered sudden cardiac arrest during or after cardiac catheterisation procedures.

Isolated Congenital Coronary Ostial Stenosis in a Young Infant: A Case Report

2020 ◽  
Vol 11 (5) ◽  
pp. 649-651
Author(s):  
Ambra Miette ◽  
Halkawt Ali Nuri ◽  
Giuseppe Pomé ◽  
Maurizio Marasini ◽  
Francesco Santini
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Congenital Heart ◽  
Young Infant ◽  
Sudden Cardiac Arrest ◽  
Cardiac Anomaly ◽  
Congenital Cardiac Anomaly ◽  
Coronary Ostial Stenosis ◽  
Life Threatening ◽  
Proximal Coronary Artery

Coronary ostial stenosis is a rare congenital cardiac anomaly, frequently associated with hypoplasia of the proximal coronary artery. This condition is potentially life-threatening, as it may present with myocardial ischemia and sudden death. We present a case of left coronary ostial stenosis in a 48-day-old infant symptomatic for sudden cardiac arrest, who successfully underwent surgical angioplasty. Any cardiac arrest in a neonate or young infant should raise suspicion of coronary ostial stenosis/atresia, considering the difficulty in diagnosing this congenital heart defect.

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