Biomedical subjects
Publications and source records attributed to A M Tummillo.
A case of a patient with pulmonary fat embolism following fractures of femurs and pelvis, with a fatal outcome after 3 days, is presented. Post mortem examination revealed a congenital osteum secundum heart defect, and widespread capillary occlusions from systemic fat microembolization.
Hypoxia, pulmonary edema, acidosis, and aspiration compose the syndrome of near drowning. A review of 20 cases of near drowning indicated that the initial chest roentgenogram bears little weight in assessing the present or future clinical status. In some cases a 24 to 48 hour delay occurred before roentgenographic evidence for pulmonary edema was noted. The composition of fluid aspirated does not affect the outcome. The results of this report suggest that patients with a history of near drowning should be followed closely for at least 48 hours despite an initial normal chest roentgenogram.