Publication
Title
The concept of forensic emergency medicine as illustrated by an unusual complication of pulmonary artery catheterization
Author
Abstract
Forensic pathologists are regularly confronted with emergency and invasive medical procedures performed on critically ill or traumatized patients. Basic knowledge of such procedures and their possible complications is therefore mandatory in medico-legal practice. In this article, we describe a very unusual complication of pulmonary artery catheterization: through-and-through perforation of the carotid artery, initially without hemodynamic consequence. Death resulted from an aggravation of the preexisting cerebral edema (secondary to a craniocerebral trauma). The misplacement of the pulmonary artery catheter was clinically missed because the guidewire was initially deflected on the cervical spine towards the subclavian vein where the catheter-by chance-entered the circulatory system and followed its normal route further. The forensic importance of leaving all invasive medical devices in situ on a deceased person when a medico-legal autopsy is to be expected and the mutual interaction between emergency and forensic medicine (forensic emergency medicine) are discussed.
Language
English
Source (journal)
American journal of forensic medicine and pathology. - New York
Publication
New York : 2008
ISSN
0195-7910
Volume/pages
29:3(2008), p. 265-267
ISI
000258729800016
Full text (Publishers DOI)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Law 
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 27.05.2009
Last edited 05.04.2017
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