UNE EMBOLIE PULMONaIRE MaSqUÉE DERRIÈRE UN TaBLEaU D’INFaRCTUS ET DÉVOILÉE PaR L’ÉCHOGRa- PHIE PRÉHOSPITaLIÈRE

Roger KADJI; FX Laborne; D Sapir; P Goube; S Lagadec; JP Desclefs; N Briole

Article Details

UNE EMBOLIE PULMONaIRE MaSqUÉE DERRIÈRE UN TaBLEaU D’INFaRCTUS ET DÉVOILÉE PaR L’ÉCHOGRa- PHIE PRÉHOSPITaLIÈRE

Authors:

Roger KADJI | FX Laborne | D Sapir | P Goube | S Lagadec | JP Desclefs | N Briole

Publisher:

Beirut: New Health Concept

Journal:

Mediterranean Journal of Emergency Medicine Issue 21, pp.23-26

Document Type:

Article

Publication Date:

1/2014

Document Language:

English

Document ID (Org No.):

2001391654

pISSN:

2225-1006

Keywords:

Abstract:

 Pulmonary embolism is a frequent cardiovascular emergency, but the clinical diagnosis is often difficult. Confusion with acute coronary syndrome can be possible; an echocardiography at the prehospital care could enable to discriminate these two pathologies.
We report the case of a 54 years old woman, with dyslipidaemia and overweight, examined by a prehospital medicalized team in Paris region for chest pain. The electrocardiogram found a depressed ST-segment in the inferolateral and apical segments. A prehospital echocardiography rectified the initial diagnosis of acute coronary syndrome in favor of a pulmonary embolism with signs of acute cor pulmonale and the absence of left ventricular dysfunction. These arguments had allowed initiating the appropriate treatment and guiding the patient to the adequate service.
With the advent of compact and portable devices, ultrasound is now transportable in prehospital medicine. The echography seems simple, non-invasive, extremely informative and discriminating; in prehospital setting, it must help answering questions without delaying the standard care.

Article Details

UNE EMBOLIE PULMONaIRE MaSqUÉE DERRIÈRE UN TaBLEaU D’INFaRCTUS ET DÉVOILÉE PaR L’ÉCHOGRa- PHIE PRÉHOSPITaLIÈRE

Authors:

Roger KADJI | FX Laborne | D Sapir | P Goube | S Lagadec | JP Desclefs | N Briole

Publisher:

Beirut: New Health Concept

Journal:

Mediterranean Journal of Emergency Medicine Issue 21, pp.23-26

Document Type:

Article

Publication Date:

1/2014

Document Language:

English

Document ID (Org No.):

2001391654

pISSN:

2225-1006

acute coronary syndrome

Emergency Medical Assistance Services

emergency room

malaise

Mobile Emergency and Intensive Care Services

prehospital echocardiography

pulmonary embolism

thoracic angioscan

Issues

Article Details

Authors: Roger KADJI | FX Laborne | D Sapir | P Goube | S Lagadec | JP Desclefs | N Briole

Publisher: Beirut: New Health Concept

Journal: Mediterranean Journal of Emergency Medicine Issue 21, pp.23-26

Document Type: Article

Publication Date: 1/2014

Document Language: English

Document ID (Org No.): 2001391654

pISSN: 2225-1006

Issues

Authors:

Roger KADJI | FX Laborne | D Sapir | P Goube | S Lagadec | JP Desclefs | N Briole

Publisher:

Beirut: New Health Concept

Journal:

Mediterranean Journal of Emergency Medicine Issue 21, pp.23-26

Document Type:

Article

Publication Date:

1/2014

Document Language:

English

Document ID (Org No.):

2001391654

pISSN:

2225-1006