Missile embolism: Difference between revisions
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==Background== | ==Background== | ||
* | *Also known as "bullet embolism" | ||
**1.1% in recent combat operations | *Occurs when a bullet or bullet fragment enters the bloodstream. | ||
* | *Usually a small-caliber, low velocity projectile.<ref name="IJSCR">Fernandez-Ranvier, Gustavo G. et al. Pulmonary artery bullet embolism—Case report and review. International Journal of Surgery Case Reports , Volume 4 , Issue 5 , 521 - 523</ref> | ||
**For this reason, incidence higher in non-military setting due to predominance of lower velocity projectiles | |||
**Incidence = 1.1% in recent combat operations | |||
==Clinical Features== | |||
==Differential Diagnosis== | |||
==Diagnosis== | |||
*Need to maintain high index of suspicion, obtain full body radiography when indicated<ref name="IJSCR" /> | |||
==Management== | ==Management== | ||
*Refer to algorithm | *Refer to algorithm | ||
[[File:missile embolism.jpg|thumbnail]] | [[File:missile embolism.jpg|thumbnail]] | ||
== | |||
==Disposition== | |||
==See Also== | |||
==References== | |||
<references/> | |||
*Lu K et al. Approach to Management of Intravascular Missile Emboli: Review of the Literature and Case Report. West J Emerg Med. 2015 Jul; 16(4): 489–496. | *Lu K et al. Approach to Management of Intravascular Missile Emboli: Review of the Literature and Case Report. West J Emerg Med. 2015 Jul; 16(4): 489–496. | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 09:18, 21 February 2016
Background
- Also known as "bullet embolism"
- Occurs when a bullet or bullet fragment enters the bloodstream.
- Usually a small-caliber, low velocity projectile.[1]
- For this reason, incidence higher in non-military setting due to predominance of lower velocity projectiles
- Incidence = 1.1% in recent combat operations
Clinical Features
Differential Diagnosis
Diagnosis
- Need to maintain high index of suspicion, obtain full body radiography when indicated[1]
Management
- Refer to algorithm
Disposition
See Also
References
- Lu K et al. Approach to Management of Intravascular Missile Emboli: Review of the Literature and Case Report. West J Emerg Med. 2015 Jul; 16(4): 489–496.