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TITLE: Cardiac tamponade from slingshot metal darts in Chuuk: a retrospective review of cases / Arsenal JC, Remit K, Yichiro O.
PUBLISHED: New Zealand
DESCRIPTION: [6] leves; 28 cm.
NOTES: Pacific health dialog, 2005, Vol.12 (1), p.145-148
NOTES: We determined the immediate cause of death of patients with penetrating cardiac injuries from slingshot metal darts. This retrospective review of cases focused on those 7 patients with penetrating cardiac injuries from the period July 1999 to July 2005.
NOTES: There were 6 patients who underwent emergency thoracotomy regardless of the type of operative approach.
NOTES: Five of the 6 patients who were operated underwent left Lateral Thoracotomy and 1 patient underwent Median Sternotomy.
NOTES: There were 11 patients who sustained cardiac injuries out of the 240 cases reviewed. The patient's with cardiac injuries had a higher mortality (27.3%) than those who have penetrating thoracic injuries (3.5%) without associated cardiac injury.
NOTES: Of the seven patients who had penetrating cardiac injuries, 5 patients underwent left Lateral thoracotomy and 1 patient underwent median sternotomy.
NOTES: All 6 patients had chest tube thoracotomy insertion prior to surgery. There were 2 deaths in this review of penetrating cardiac injuries.
NOTES: The other patient with 7 multiple slingshot injuries died of cardiac tamponade with hypovolemic shock.
SUBJECT: Accidents, occupational.
SUBJECT: Cardiac Tamponade - etiology
SUBJECT: Cardiac Tamponade - mortality
SUBJECT: Cardiac Tamponade - surgery
SUBJECT: Wounds--Surgery--Penetrating.
SUBJECT: Micronesia- epidemiology
ADDED ENTRY: Yichiro, O.

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