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{
    "pk": 742,
    "title": "Arrow to the Chest",
    "subtitle": null,
    "abstract": "A 33-year-old male was brought to the emergency department after a penetrating arrow injury to the chest. Initial evaluation revealed the arrow was penetrating the sternum, lung, and aortic arch. Because the patient was in a remote area, timely transfer to a specialized center for definitive operative repair was delayed approximately 24 hours. Treatment was focused on minimizing risk of hemorrhage with tight blood pressure control, while tube thoracostomy was deferred to avoid a change in intrathoracic pressure. The left-sided hemothorax was monitored with serial point-of-care ultrasounds. Ultimately he was successfully transferred and underwent successful surgical intervention.",
    "language": "en",
    "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": [],
    "section": "Astonishing Cases and Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6nw1n83q",
    "frozenauthors": [
        {
            "first_name": "Sherab",
            "middle_name": "",
            "last_name": "Wangdi",
            "name_suffix": "",
            "institution": "Khesar Gyalpo University of Medical Sciences of Bhutan, Department of Emergency Medicine,Thimphu, Bhutan",
            "department": "None"
        },
        {
            "first_name": "Shankar",
            "middle_name": "",
            "last_name": "LeVine",
            "name_suffix": "",
            "institution": "Jigme Dorji Wangchuck National Referral Hospital, Department of Emergency Medicine,Thimphu, Bhutan",
            "department": "None"
        },
        {
            "first_name": "Melanie",
            "middle_name": "",
            "last_name": "Watts",
            "name_suffix": "",
            "institution": "Jigme Dorji Wangchuck National Referral Hospital, Department of Emergency Medicine,Thimphu, Bhutan",
            "department": "None"
        }
    ],
    "date_submitted": "2019-10-21T22:15:37+02:00",
    "date_accepted": "2019-10-21T22:15:37+02:00",
    "date_published": "2019-10-21T22:17:10+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/742/galley/497/download/"
        }
    ]
}