Background: It is well recognized that manual chest compression could cause a number of internal injuries, many of which are fatal. Similar to this, many type A acute aortic dissection patients who develop cardiac tamponade die before reaching the hospital. This study presented a case in which pericardial laceration brought on by chest compressions have unintentionally caused cardiac tamponade by acute aortic dissection. Case presentation: A 65 year old woman with a history of systemic hypertension was presented who was fainted shortly after complaining of terrible epigastric discomfort. Paramedics started manual chest compressions on the patient, as soon as they realized they were dealing with a cardiopulmonary arrest. The pericardial laceration brought on by chest compressions might have unintentionally freed cardiac tamponade caused by acute aortic dissection, perhaps sparing the patient's life. During surgery, a hemothorax and pericardial laceration connected to the left pleural space were found, but no heart injury was seen. There were no indications of the ruptured aortic aneurysm or any intra-thoracic injuries that would have caused the hemothorax. Hemiarch replacement was successfully accomplished, but the patient died from multi-organ failure 31 days after the operation. Conclusion: An instance of non-fractured pericardial injury caused by chest compression was presented. The pericardial laceration, also afforded the patient enough time for surgery, have accidentally eased the hemothorax brought on by the acute aortic dissection.

Background Musculoskeletal disorders are common health problems worldwide. Several factors cause these symptoms, including ergonomics and other individual considerations. Computer users are prone to repetitive strain injuries that increase the risk of developing musculoskeletal symptoms (MSS). Radiologists are susceptible to developing MSS because they work long hours analysing medical images on computers in an increasingly digitalised field. This study aimed to identify the prevalence of MSS among Saudi radiologists and the associated risk factors. Methods This study was a cross-sectional, non-interventional, self-administered online survey. The study was conducted on 814 Saudi radiologists from various regions in Saudi Arabia. The study's outcome was the presence of MSS in any body region that limited participation in routine activities over the previous 12 months. The results were descriptively examined using binary logistic regression analysis to estimate the odds ratio (OR) of participants who had disabling MSS in the previous 12 months. All university, public, and private radiologists received an online survey containing questions about work surroundings, workload (e.g., spent at a computer workstation), and demographic characteristics. Results The prevalence of MSS among the radiologists was 87.7%. Most of the participants (82%) were younger than 40 years of age. Radiography and computed tomography were the most common imaging modalities that caused MSS (53.4% and 26.8%, respectively). The most common symptoms were neck pain (59.3%) and lower back pain (57.1%). After adjustment, age, years of experience, and part-time employment were significantly associated with increased MSS (OR = .219, 95% CI = .057–.836; OR = .235, 95% CI = 087–.634; and OR = 2.673, 95% CI = 1.434–4.981, respectively). Women were more likely to report MSS than males (OR = 2.12, 95% CI = 1.327–3.377). Conclusions MSS are common among Saudi radiologists, with neck pain and lower back pain being the most frequently reported symptoms. Gender, age, years of experience, type of imaging modality, and employment status were the most common associated risk factors for developing MSS. These findings are vital for the development of interventional plans to reduce the prevalence of musculoskeletal complaints in clinical radiologists.