Article Instance

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{
    "pk": 16874,
    "title": "Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio",
    "subtitle": null,
    "abstract": "This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient’s International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation was reversed and the patient underwent successful pericardiocentesis with removal of 1,100 mL of blood. [WestJEM. 2009;10:115-119.]",
    "language": "en",
    "license": {
        "name": "none",
        "short_name": "none",
        "text": "",
        "url": "http://google.com"
    },
    "keywords": [
        {
            "word": "hemopericardium"
        },
        {
            "word": "Tamponade"
        },
        {
            "word": "anticoagulation"
        },
        {
            "word": "ultrasound"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0n0525k4",
    "frozenauthors": [
        {
            "first_name": "Joel",
            "middle_name": "T",
            "last_name": "Levis",
            "name_suffix": "",
            "institution": "Kaiser Santa Clara Medical Center, Department of Emergency Medicine, Santa Clara, CA",
            "department": "None"
        },
        {
            "first_name": "Mucio",
            "middle_name": "C",
            "last_name": "Delgado",
            "name_suffix": "",
            "institution": "Stanford-Kaiser Emergency Medicine Residency Program",
            "department": "None"
        }
    ],
    "date_submitted": "2008-05-09T07:00:00Z",
    "date_accepted": "2008-05-09T07:00:00Z",
    "date_published": "2009-05-01T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/16874/galley/8547/download/"
        }
    ]
}