A case of massive pulmonary embolism causing cardiac arrest managed with successful systemic thrombolytic in the emergency department
| Autor: | Fevzi Yılmaz, Yaşar Tekin, Nazmi Toprak, Mehmet Berk Eyı̇nç, Engin Deniz Arslan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Emergency Care Journal, Vol 18, Iss 4 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1826-9826 2282-2054 |
| DOI: | 10.4081/ecj.2022.10827 |
| Popis: | Pulmonary Embolism (PE), when complicated by cardiac arrest, is almost always fatal despite all resuscitative efforts. However, a more favorable is possible when PE is rapidly identified as the cause of cardiac arrest and pulmonary circulation is quickly re-established by specific therapy. A 54-year-old woman was brought to the Emergency Department (ED) by 112 emergency ambulance service with the complaint of shortness of breath that had started 2 hours ago. She developed cardiac arrest while being physical examined 2 minutes after admission, and Cardiopulmonary Resuscitation (CPR) was immediately begun. Massive PE was considered the most likely diagnosis in the light of her history, physical examined, and bedside ultrasonography findings; thus, recombinant tissue Plasminogen Activator (r-tPA) was administered during CPR. The second CPR attempt achieved return of spontaneous circulation within 5 minutes. She was treated at intensive care unit for 32 days and discharged from the hospital with complete recovery. |
| Databáze: | Directory of Open Access Journals |
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