1/4. Gastric rupture after heimlich maneuver and cardiopulmonary resuscitation.Choking is a common emergency problem. The heimlich maneuver is unquestionably effective in relieving airway obstruction. Serious and life-threatening complications may arise, however, if the maneuver is applied incorrectly. Two cases of gastric rupture after heimlich maneuver are reported. Lay public, paramedics and the medical professionals should be educated with the correct technique of heimlich maneuver and its potential complications. All patients receiving heimlich maneuver should be examined by an experienced physician.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. Traumatic rupture of the stomach after heimlich maneuver.Fatal complications following the performance of the heimlich maneuver have been reported. A 76-year-old woman presented to the emergency department with signs of respiratory distress, abdominal pain and distension one day after airway obstruction and subsequent resuscitation. Despite successful immediate laparotomy and repair of a ruptured stomach, she later succumbed to the sequelae of aspiration of gastric contents and dehiscence of the gastric tear. This is the 4th case of stomach rupture and the 7th reported fatal complication following the heimlich maneuver. It is recommended that persons who undergo the heimlich maneuver be examined and observed by a physician, as soon as possible, to rule out complications.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/4. Gastric rupture and death caused by ipecac syrup.We have reported a fatal complication of a therapeutic dose of ipecac syrup administered in a hospital emergency room. This child received 15 ml of ipecac syrup shortly after ingesting one to five tablets of chlorpheniramine maleate (4 mg). A prolonged course of vomiting (more than 24 hours) eventually resulted in gastric rupture and death. While the use of ipecac is both efficacious and safe in the overwhelming majority of cases, there have been documented fatalities after appropriate doses. For this reason, ongoing education for physicians is important; education of parents is also warranted since wide-scale distribution to families is the accepted standard. Because most patients stop vomiting within two to three hours after ipecac administration, we recommend that children with persistent vomiting should be observed in a medical facility, where electrolyte levels can be measured and fluids can be replaced if necessary.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/4. Acute gastric necrosis in anorexia nervosa and bulimia. Two case reports.In recent years we have treated two patients with gastric infarction as a complication of anorexia nervosa and bulimia. We found only three other cases reported in the literature. Surgical intervention was delayed in all five patients either because the diagnosis was missed by the physician or because the patient failed to seek medical attention. physicians should be alerted to the possibility of acute gastric dilatation if a young woman, who may be undernourished and anorexic, complains of abdominal pain after ingestion of a large meal. Often this condition can be treated conservatively before irreversible damage to the gastric wall has taken place. If the gastric dilatation progresses, the stomach loses its contractility, resulting in venous occlusion, infarction, and gastric perforation. An extensive operation is required, and the patient undergoes an often complicated and prolonged hospital course.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |