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Ventricular fibrillation (VF) is a lethal cardiac arrhythmia that leads to cardiac arrest and death. It is especially deadly when it fails to respond to conventional treatment with electrical defibrillation. This arrhythmia is often triggered by acute myocardial ischemia, but in rare cases, it can be precipitated by direct myocardial trauma. Most patients with traumatic cardiac arrest do not survive, but in a minority of patients, an emergency thoracotomy may improve survival by addressing reversible causes such as haemorrhage control, relief of cardiac tamponade, and direct wound closure. We present an unusual case of a traumatic cardiac arrest, presenting with refractory ventricular fibrillation due to a cardiac laceration in a young trauma patient with an isolated chest injury.

Background: Prostate cancer is a significant health-care burden in both developing and under developed countries. Efforts in Saudi Arabia may be hindered by the unclarity of awareness of predictors of early prostate cancer screening, given the complexity of such screening. Aims: The objective of this study was to assess awareness levels of early screening of prostate cancer and its predictors among Saudi men. Methods: A cross-sectional participatory approach was used to assess the awareness levels of early screening of prostate cancer among Saudi men within the age group for which early prostate cancer screening is recommended. Results: Participants were recruited out of those admitted to outpatient clinics of the five largest tertiary-care hospitals. Four hundred and eighteen Saudi outpatient men aged 40–65 years were interviewed. Of all participants, 79.2% had heard of prostate cancer. When comparing eligible age groups, there was a significant difference in the percentage of men who had not undergone prostate screening (P Conclusion: There was no significant difference in the percentages of men who would consider screening if they presented lower urinary tract symptoms (P = 0.179). Data on the uptake of voluntary screening of prostate cancer in Saudi Arabia are either inconclusive or insufficient. Therefore, it may be challenging to interpret the awareness levels and surveillance strategies for this disease in Saudi Arabia.