{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:45:30Z","timestamp":1747190730869,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T00:00:00Z","timestamp":1646697600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Emergency Medicine"],"published-print":{"date-parts":[[2022,3,8]]},"abstract":"<jats:p>Cerebral arterial gas embolism (CAGE) is a rare but serious cause for acute neurologic deficit that occurs most often in divers who breathe compressed gas at depth or iatrogenically from a variety of invasive medical procedures. We present a rare case of CAGE caused by inhaling helium from an unregulated, high-pressure gas cylinder. Following inhalation, the patient experienced loss of consciousness, neurologic deficits, pneumomediastinum, and pneumothorax requiring transfer and treatment at a hyperbaric facility with resulting resolution of neurologic symptoms. This case highlights the importance of rapid diagnosis and hyperbaric oxygen treatment (HBO), facilitated by close coordination among community emergency departments, pediatric tertiary care centers, hyperbaric facilities, and poison control.<\/jats:p>","DOI":"10.1155\/2022\/1847605","type":"journal-article","created":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T23:05:09Z","timestamp":1646780709000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["Cerebral Arterial Gas Embolism due to Helium Inhalation from a High-Pressure Gas Cylinder"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5712-9727","authenticated-orcid":true,"given":"Gabriel","family":"Morales","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Fiero","sequence":"additional","affiliation":[{"name":"Divsion of Pediatric Critical Care Medicine, Seattle Children\u2019s Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesselle","family":"Albert","sequence":"additional","affiliation":[{"name":"Divsion of Pediatric Critical Care Medicine, Seattle Children\u2019s Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Di Gennaro","sequence":"additional","affiliation":[{"name":"Divsion of Pediatric Critical Care Medicine, Seattle Children\u2019s Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8521-0143","authenticated-orcid":true,"given":"Anthony","family":"Gerbino","sequence":"additional","affiliation":[{"name":"Sections of Critical Care and Pulmonary Medicine, Virginia Mason Medical Center, Seattle, WA, USA"},{"name":"Center for Hyperbaric Medicine, Virginia Mason Medical Center, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.redar.2020.01.012"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.02.068"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.2217\/fca-2017-0015"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-010-1821-9"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.lfs.2019.117170"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1179\/174313209X389857"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainres.2008.04.078"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181fbe2bf"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70039-2"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/path.1700820126"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199401063300104"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200205000-00034"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(00)70086-2"},{"author":"J. 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