Yousef Almuhanna, Vatsal Trivedi, Fady Balaa. University of Ottawa
A 34 years old female, G7 and 10 weeks pregnant, was brought to the hospital by EMS, after being found on the floor in her toilette surrounded by vomitus and urine. Mother-in-law, who happens to be at the house that time, have heard severe retching followed by a loud bang sound. Firefighters have found no pulse and therefore started CPR. Return of spontaneous circulation was achieved, yet unfortunately, she had arrested again 5 minutes prior to arrival to ER. POCUS assessment showed large RVOT, and therefore tPA was started on the assumption of pulmonary embolism. Upon arrival of blood work, it was found that her hemoglobin had dropped from 110 to 54. FAST was repeated showing moderate to severe amount of free fluid in the Morrison’s pouch and pelvis. She was then taken to the operating theatre, had undergone laparotomy showing liver segment II injury. Pringle’s maneuver and aortic clamping did not control the bleed, therefore finger fracture and venous clips were used to temporary minimize the bleed, and head to interventional radiology suite. After multiple attempts to control the bleed, and the massive transfusion, she vital signs were not maintained, and had arrested afterwards.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88346
Program Number: P140
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster