• Am J Emerg Med · Nov 2014

    Case Reports

    Cardiopulmonary arrest due to early hyperkalemia after liver injury.

    • Junna Matsuda, Tetsunosuke Shimizu, Tadahiro Kittaka, Makiko Fukuda, and Hiroshi Akimoto.
    • Osaka Mishima Emergency Critical Care Center, Osaka, Japan.
    • Am J Emerg Med. 2014 Nov 1;32(11):1440.e1-2.

    AbstractHyperkalemia due to crush syndrome after trauma is a well known fatal clinical condition, but early hyperkalemia with hemorrhage after trauma is a rare phenomenon. We report on a 5-year-old boy who bruised from the lumbers, had cardiopulmonary arrest caused by hyperkalemia, and underwent perihepatic packing twice before being discharged without any neurologic deficits. Clinicians should be vigilant for signs of hyperkalemia accompanying hemorrhagic shock, even in the early phase of trauma.

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