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CASE REPORT  COVID-19 SECTION Open accessopen access

Italian Journal of Emergency Medicine 2021 April;10(1):6-10

DOI: 10.23736/S2532-1285.21.00044-6

Copyright © 2021 THE AUTHORS

This is an open access article distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.

language: English

COVID-19 and hemorrhagic complications: pectoral hematoma

Dario BENAZZI 1 , Viviana ANTONICELLI 1, Barbara PRESCIUTTINI 2, Enrica FORONI 1, Massimo BELLINI 1, Andrea SMURRA 1, Claudia LO BIANCO 1, Massimo AMATO 1

1 Emergency Department, Urgency Medicine Ward, Carlo Poma Hospital, ASST Mantova, Mantova, Italy; 2 Unit of Internal Medicine, Carlo Poma Hospital, ASST Mantova, Mantova, Italy

There is evidence that patients with COVID-19 pneumonia have hyperactive coagulation status and one of the main causes of death is pulmonary embolism. At the same time, these patients suffer from hypoxia, therefore they need respiratory support with high flow oxygen via face mask and/or noninvasive positive pressure ventilation (NIPPV). Frequently patients suffering from acute respiratory distress syndrome (ARDS) require nursing in a prone position. In March and April, 75 patients with SARS-CoV-2 were admitted to the Emergency Department Ward. Among these patients, 57 had pneumonia with ARDS. For them we adopted a therapeutic protocol including anticoagulant treatment in severe cases and alternation of supine and prone position in bed. We have analyzed 2 cases of obese women affected by severe ARDS due to COVID-19 pneumonia and left pectoral hematoma with severe secondary acute anemia.

KEY WORDS: COVID-19; Hematoma; Noninvasive ventilation

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