![]() ![]() Chest tube drainage of the right effusion was serosanguinous, and drainage of the left effusion revealed thick, dark, sanguinous fluid both effusions were positive for adenocarcinoma. ![]() A subsequent CT angiogram of the pulmonary arteries confirmed resolution of the pericardial effusion but also revealed new bilateral pleural effusions. Point of care ultrasound was then used to guide pericardial drainage but no fluid could be visualized, therefore pericardiocentesis was not performed. After a few minutes of CPR, return of spontaneous circulation was achieved (ROSC). While preparing for the procedure, the patient became pulseless and cardiopulmonary resuscitation (CPR) was initiated. These range from superficial bruising through to chest or airway injury that is. However, after admission the patient became hypotensive and was transferred to the Cardiac Intensive Care Unit for pericardiocentesis. A wide range of injuries have been described as being inflicted during CPR. Chest compression is an effective cardiopulmonary resuscitation (CPR) technique for patients who develop cardiac arrest. Given the patient’s known malignancy and lack of hemodynamic instability, the effusion was deemed likely a chronic malignant effusion and was scheduled for elective pericardiocentesis. CPR may lead to severe injuries of internal organs. Computed tomography (CT) scan and echocardiogram confirmed the presence of a large pericardial effusion. Annual trends are shown for witnessed out-of-hospital cardiac arrests that occurred at home. In no single case death was declared without at least partly professional CPR. Electrocardiogram (ECG) revealed electrical alternans. Temporal Trends in Bystander CPR for Persons with Out-of-Hospital Cardiac Arrest, 2013 through 2019. CASE PRESENTATION: A 65-year-old man with metastatic adenocarcinoma of unknown primary was admitted with multiple complaints including dyspnea, epigastric pain, weakness, and weight loss. ![]()
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