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<p>A 50-year-old man was brought to the Emergency Department (ED) following a loss of consciousness (LOC) at his workplace. Although the initial presentation suggested a traumatic etiology, the systematic application of E-FAST (Extended Focused Assessment with Sonography for Trauma) revealed a large pericardial effusion, leading to the diagnosis of cardiac rupture secondary to subacute myocardial infarction. This case highlights the critical role of point-of-care ultrasound in the early evaluation of undifferentiated LOC and trauma, enabling rapid identification of life-threatening non-traumatic conditions.</p>

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The great mimic: how E-FAST unmasked a cardiac rupture masquerading as head trauma

  • 期刊论文

  • 发表日期：

    2026年7月8日

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  • Biagio Migliaccio,
  • Francesca Delgado,
  • Nicola Crispino,
  • Giovanna Guiotto

摘要

A 50-year-old man was brought to the Emergency Department (ED) following a loss of consciousness (LOC) at his workplace. Although the initial presentation suggested a traumatic etiology, the systematic application of E-FAST (Extended Focused Assessment with Sonography for Trauma) revealed a large pericardial effusion, leading to the diagnosis of cardiac rupture secondary to subacute myocardial infarction. This case highlights the critical role of point-of-care ultrasound in the early evaluation of undifferentiated LOC and trauma, enabling rapid identification of life-threatening non-traumatic conditions.