PP-218 DO SERUM BILIRUBIN LEVELS INDICATE THE SEVERITY OF CORONARY ARTERY DISEASE?

Abstract

Objectives: Heart injury is suspected, emergency first intervention in individuals suffering from chest trauma, rapid transport, without wasting time making the evaluation and immediate life saving operation. The purpose of this study, the treatment of urgent cases under technical and infrastructure failure and non-cardiac surgery center hospital to provide relevant experiences. Methods: From January 2012 to December 2012 between emergency department of a public hospital were examined demographic characteristics of patients presenting with suspected cardiac injury. Result: State hospital emergency department, all 7 patients who presented with cardiac injury were male. 3 out of 4 of them with gunshot wounds was admitted with stab wounds. The average age is 26.6, the youngest was 17 and the oldest 42. Two patients admitted to the emergency department at the general poor health are low blood pressure and bradycardic underwent an emergency operation on the reviews after the first. The other five patients admitted to the emergency department as a result of injury due to a better general state of thoracic CT and echocardiography with medical treatment after the four surgical patients were followed up for a planed (Table 1). All patients were discharged in good health controls, there has been a problem. Observed in the third patient with penetrating cardiac injury was repaired with primary cardiac tamponade requiring the evacuation of a post-CPB. Six Implantation (sternotomy opportunity does not exist) anterior thoracotomy has been reached with the heart. Penetrating cardiac injuries, rapid diagnosis and treatment is life saving. The majority of deaths due to this injury, the patient takes place in the period up to delivery to the hospital from the scene. Clinical status of the patients in the form of injury, time elapsed until reaching the hospital, the hospital operating room until after receipt of the elapsed time, the presence of cardiac tamponade and may vary depending on the number of associated injuries. 74% of patients can be transported to the hospital and survive emergency surgery have been reported.