List Archives

Mon Aug 28 01:22:23 BST 2006

FAST was positive only for Fluid in abdomen,
  went to abdomen, at least 2 L of hemoperitoneum, grade 4 splenic laceration (splenectomy was done quickly)  with active bleeding, grade 3 liver inj (Packed with 101 technique). No central or retroperitoneal hematoma.
  Anesthesia inserted Rt IJ and stated using it for resuscitation.
  shortly within 20 min CT out put increased to 1200 .(from 400 initial)with indication that hemothorax is increasing by ispecting diaphragmatic movement and pt developed hypotension.  and now pt on pressors and anesthesia trying to catch up.
  Thoracotomy with clamshell extension was made, massive hemothorax. with findings of tense pericardium and Left lower lung with laceration almost cutting it in tow parts, with active venous bleed and air leak.pericardiotomy was made, internal cardiac message was initiated, lung twisted, pt developed V-fib, and multiple air bubbles in coronaries, with no recovery.
  1.5 cm laceration at inferior vena-cava-Rt atrium junction was found.
  What things that could be done differently??

List Archives

For your convenience, find the Trauma List Archive Below

(no subject)