Here's one for the list...
28yr old female, 28 weeks pregnant, collapses at home. She had seen a
medical practitioner earlier in the day with 'indigestion'.
Bystander CPR for 15 minutes, return of circulation after intubation,
adrenaline and paramedic CPR.
GCS of 3 on arrival but good fetal heart rate. Some slight respiratory
effort, Pt BP 130/80, p130, good pO2. Mother not in labour.
ECG shows massive anterolateral MI.
No angioplasty available on site and a relatively long transfer time to the
nearest centre that can.
What would YOU do?
Who would/wouldn't thrombolsyse, and why?
Any anecdotal experience?
Cheers,
Hugo Poncia
(Loc ED cons)
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