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Cardiac injuries from Stingray barbs are rare, even worldwide, and all but one have been fatal. We report a survivor of a cardiac injury caused by a stingray barb. Penetration of a body cavity by a stingray barb requires early surgical referral and management.
Penetration of a body cavity by a stingray barb may cause major morbidity and even death, particularly with cardiac injury, and requires early surgical referral and management.
A 33 year old man was snorkeling at Coogee, a popular Sydney swimming beach, when he was noticed to be in distress. He was rescued by lifeguards, and found to be unconscious, not breathing, and had an increased heart rate (150 beats/min). After a short period of expired air resuscitation performed on the beach, he regained consciousness and said he had been struck by the tail of a stingray. He complained of difficulty breathing and severe, left-sided chest pain where the tail had struck.
When paramedics arrived he was cyanosed, with a systolic blood pressure of 75 mmHg (usually 110 to 140) and sinus tachycardia (heart rate 150 beats/min), but with normal level of consciousness. He was given fluid resuscitation on the way to hospital with no improvement in blood pressure.
On arrival at the emergency department, he remained in cardiogenic shock with a low blood pressure and high heart rate, hypothermia (temperature of 31C), poor peripheral perfusion and central cyanosis. He had a 2 cm laceration over the lower left chest next to the sternum. His Glasgow coma score (level of consciousness; 15 normal, 3 dead) had deteriorated to 10. He was intubated and manually ventilated. Invasive monitoring catheters were inserted and cardiac support commenced with adrenaline.
Echocardiography revealed a cardiac tamponade, fluid trapped in the sac around the heart causing restriction to cardiac function. A needle drainage was performed and 150 ml of blood was aspirated from the pericardial sac. This resulted in prompt restoration of blood pressure to 170/80 mmHg, and reduction in heart rate to 100 beats/min.
Originally posted by nephyx
there wont be any more crocodile dundee movies
A stingray to the heart? Please!!
And now his wife and kids will inherit all that money?
Am i the only one that thinks ...
Originally posted by nephyx
I have been following this story the entire time now. First of all, i have to say, im sad that there wont be any more crocodile dundee movies because i was a big fan.
Secondly... A stingray to the heart? Please!! And now his wife and kids will inherit all that money?
Am i the only one that thinks this stingray might have been a robotic protocol designed by Steve's wife to kill him so she could inherit the loot?