Lost Balloon - Manish Ramlall
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A 45-year-old man was admitted with NSTEMI and underwent stenting of a lesion in his LAD artery. During post-dilation of the stent, the balloon failed to deflate after inflation and its shaft snapped, leaving the deflated balloon trapped in the patient's artery. Another catheter was inserted through the radial artery to inject contrast and a second wire and balloon were used along with a trapping technique to pull the entire apparatus including the trapped balloon out of the patient's artery. The procedure was successful and the patient was treated for the balloon complication without further issues.
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Line Insertion Technique & Follies
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Chest trauma
Lecture By:
DR. TAREK SILEM AL-NOGOMI
Emergency Specialist
General Surgery Acting Consultant
CHEST INJURY
This document provides an overview of chest trauma. It begins with the anatomy of the thorax and then discusses various types of chest injuries including pneumothorax, hemothorax, flail chest, cardiac tamponade, and traumatic aortic rupture. For each type of injury, the document describes the mechanism of injury, signs and symptoms, and treatment approaches. It emphasizes the life-threatening nature of many chest injuries and stresses the importance of rapid diagnosis and management.
Thoracic trauma
Trauma is a leading cause of death and disability. Chest injuries from blunt or penetrating trauma can cause life-threatening conditions like tension pneumothorax, massive hemothorax, and pericardial tamponade if not recognized and treated promptly. The primary survey focuses on identifying and correcting issues like airway obstruction, hypoxemia, and hypovolemia. Chest x-rays and further tests in secondary survey can identify additional injuries like simple pneumothorax, pulmonary contusion, and cardiac injuries that require specific management. Proper evaluation and treatment of chest trauma aims to prevent complications and reduce mortality from uncontrolled hemorrhage, hypoxia, or delayed interventions.
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