A Curious Case of Resuscitation

Check out Dr. Anand Swaminathan and Dr. Tarlan Hedayati in this discussion from ResusX:Reset (see the link below for more videos), as they discuss a challenging case involving a 35-year-old woman at 16 weeks of pregnancy presenting with significant vaginal bleeding. The patient is in a critical condition, showing signs of hemorrhagic shock. They emphasized the importance of early intervention, including administering blood and uterotonic medications. They discuss the potential use of a Bakri balloon or improvised methods like a Foley catheter to tamponade bleeding if resources are limited. The episode highlights the need for preparedness, activation of a Massive Transfusion Protocol, and collaboration with obstetrics and surgery in managing these rare but high-stakes emergencies. They also stress the significance of having a dedicated cart with available necessary medications to streamline the response to such critical cases.
00:03 Introduction and Case Presentation
00:26 Initial Assessment and Patient Presentation
01:20 Discussion on Patient Management
02:36 Exploring Treatment Options and Medications
06:37 Involvement of Other Medical Specialties
06:59 Further Steps in Patient Management
12:18 Discussion on Emergency Procedures
14:20 Conclusion and Reflections
To watch more videos from the ResusX:Reset conference, check out www.resusx.com...
Hashtags:
#CriticalCare, #EmergencyMedicine, #MassivePulmonaryEmbolism, #VaginalBleeding, #PostpartumHemorrhage, #OBGYN, #HemorrhagicShock, #UterineTone, #BakriBalloon, #MassiveTransfusionProtocol, #EmergencyResuscitation, #MedicalMacGyver, #Hysterectomy, #UterotonicMedications, #EmergencyDepartmentManagement

[@JustAnotherTrader]

Out of curiosity when would you stop resuscitation? Personally I am a paramedic with access to only TXA and Pitocin. However wondering what your targeting so we do not blow the clots formed from the medications administered. My main signal is for hemorrhagic shock on this pt is a significantly higher HR then the systolic. However I do consider the pt may be in an emotional distress state that may elevate the HR. So when do you stop the resuscitation?

[@CriticalCareNow]

Use parameters like mention, urine output, cap refill, etc.

[@abdelhady1533]

I really liked this conversation ❤
Go on

[@CriticalCareNow]

Appreciate you!