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{
    "pk": 35398,
    "title": "Suspected Fat Embolism Syndrome in the Setting of Ballistic Long Bone Fractures: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Fat embolism syndrome (FES) is a rare, life-threatening condition most seen in traumatic orthopedic injuries, especially long bone fractures. Classically, FES presents with<br>hypoxemia, neurological abnormalities, or a petechial rash; however, clinical findings can extend beyond this classic triad. Since FES is a clinical diagnosis, emergency physicians must recognize both classic and subtle presentations.</p>\n<p><strong>Case Report: </strong>A 22-year-old female presented as a transfer from an outside hospital for multiple long bone fractures secondary to gunshot wounds. Upon arrival, she was found to be hypoxic, despite no signs of thoracic injury on exam or initial imaging. Her presentation, laboratory findings, and repeat imaging were consistent with FES. She was given supportive care through supplemental oxygen and close monitoring. She improved with supportive care and was discharged home in stable condition.</p>\n<p><strong>Conclusion</strong>: Although there is no definitive treatment for fat embolism syndrome, prompt recognition of the various clinical findings associated with FES by emergency physicians can expedite<br>supportive care, allow prompt admission to a critical care unit, and aid with monitoring for potential deterioration.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "fat embolism syndrome"
        },
        {
            "word": "Trauma"
        },
        {
            "word": "Fracture"
        },
        {
            "word": "case report"
        },
        {
            "word": "Orthopedics"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9fk1q56s",
    "frozenauthors": [
        {
            "first_name": "Irfan",
            "middle_name": "",
            "last_name": "Husain",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
            "department": ""
        },
        {
            "first_name": "Danielle",
            "middle_name": "",
            "last_name": "Andrews",
            "name_suffix": "",
            "institution": "Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia",
            "department": ""
        }
    ],
    "date_submitted": "2025-01-07T09:48:50.666000-08:00",
    "date_accepted": "2025-04-11T10:23:03.368000-07:00",
    "date_published": "2025-09-05T12:50:00-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/35398/galley/40135/download/"
        }
    ]
}