Out-of-hospital ultrasonographic diagnosis of a left ventricular wound after penetrating thoracic trauma

Prehospital ultrasound as the evolution of the Franco-German model of prehospital EMS

“…In the treatment of cardiac arrest, ultrasound allows early detection of certain pathological findings that warrant immediate performance of life-saving maneuvers that otherwise could have to be performed on the basis of clinical suspicion only. Typical examples are the drainage of a pericardial tamponade, the administration of a thrombolytic agent in course of massive pulmonary embolism, fluid bolus in case of hypovolaemia, decompression of a tension pneumothorax [42][43][44][45]. It is of at most importance that the role of US in course of cardiac arrest has now been fully recognized by international guidelines [46,47].…”

Tamponade after cardiac wound: use of transthoracic echocardiography by the emergency physician

“…Les plaies cardiaques sont des urgences graves dont la mortalité est liée essentiellement aux délais de prise en charge [1]. L'échocardiographie est un outil de diagnostic de plus en plus utilisé aux urgences et qui peut être utilisé même en extrahospitalier [2]. Cette observation montre l'intérêt de l'utilisation par l'urgentiste de l'échocardiographie à l'instar du protocole FAST (Focus Abdominal Sonography for Trauma) pour raccourcir le délai et améliorer le pronostic de la prise en charge des plaies cardiaques aux urgences.…”