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September 10, 2025Clinical Practice and Cases in Emergency MedicineOpen Access

An Unusual Cause of Shock in a Trauma Patient with Hemodynamic Instability: A Case Report

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Authors

NJN. J. G. JansenCFChristie L. Fritz

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Overview

Case report describes pulmonary embolism as a cause of hemodynamic instability in trauma, indicating eFAST's complexities.

Key Points

  • A patient with hemodynamic instability had a pulmonary embolism, highlighting the need for accurate diagnosis.
  • eFAST revealed free abdominal fluid, but was misinterpreted, emphasizing the importance of clinical context in trauma evaluations.
  • The presence of fluid on eFAST in blunt trauma cases may not always indicate a surgical emergency.
  • Careful assessment using ultrasound is crucial for trauma patients, as false positives can complicate management.

Cite This Study

Jansen et al. (2025) studied this question.

synapsesocial.com/papers/68c23e02b210217d64790c4ahttps://doi.org/10.5811/cpcem.43502
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of Point-of-Care Ultrasound in Triage on Diagnosis and Treatment of Trauma Patients in a Resource-Limited Setting in East Africa2025
  2. 2The Role of Focused Assessment with Sonography for Trauma (FAST) in Identifying Intra-Abdominal Injuries in Blunt Abdominal Trauma2025
  3. 3PSEUDO RENAL FAILURE POST ROAD TRAFFIC ACCIDENT2025
  4. 4Point‐Of‐Care Ultrasound for Rapid Diagnosis and Management of Pericardial Effusion in Penetrating Trauma: A Systematic Review and Meta‐Analysis2025
  5. 5A Comparative Analysis of Diagnostic Accuracy of Focused Assessment with Sonography for Trauma Performed by Emergency Medicine Resident versus Radiology Residents2025