DOI: 10.36347/sjmcr.2017.v05i06.009

Pages: 385-386

The subject of this case report is a 62-year-old male who fell from an altitude of 15 m while paragliding. A physician-staffed helicopter was dispatched to transport the subject after his accident. When the staff of the helicopter checked him, he was in cardiac arrest. The initial rhythm was asystole. He underwent emergency thoracotomy and aortic clamp at the scene, receiving advanced cardiac life support. Thoracotomy revealed massive hemorrhaging in the left thorax. On arrival at the hospital, he remained in cardiac arrest. Both feet were swollen and deformed. Autopsy imaging revealed aortic injury in addition to diaphragmatic rupture and ischium fracture. Physicians should be alert for lethal aortic injury when treating patients who have fallen while paragliding.