{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:36:11Z","timestamp":1780097771695,"version":"3.54.0"},"reference-count":10,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,3,21]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p>A 47-year-old man sustained multisystem injuries after being struck by a vehicle travelling at high speeds. Shortly after admission to the emergency department he suffered a ventricular tachycardia\/ventricular fibrillation cardiac arrest lasting 30\u2009min. Investigations following return of spontaneous circulation raised suspicion for an anterolateral ST-elevation myocardial infarction. Despite his major traumatic injuries the patient was transferred for percutaneous coronary intervention uncovering a complete thrombosis of the ostium of the left anterior descending artery. Immediately following coronary revascularisation, the patient developed cardiogenic shock resulting in a multidisciplinary decision to place the patient on veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The management of cardiogenic shock due to acute myocardial infarction with VA-ECMO and multiple traumatic injuries were often at odds with each other, resulting in a series of challenging decisions on timing of surgery and anticoagulation. The patient was liberated from VA-ECMO after 72\u2009hours and continues rehabilitation in hospital.<\/jats:p>","DOI":"10.1136\/bcr-2020-241034","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T12:40:58Z","timestamp":1617885658000},"page":"e241034","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["VA-ECMO as a salvage strategy for blunt cardiac injury in the context of multisystem trauma"],"prefix":"10.1136","volume":"14","author":[{"given":"Gary Peter","family":"Misselbrook","sequence":"first","affiliation":[{"name":"Division of Critical Care, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada"},{"name":"School of Anaesthesia and Intensive Care Medicine, Health Education England Wessex, Winchester, Hampshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S 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