A case of massive pulmonary embolism causing cardiac arrest managed with successful systemic thrombolytic in the emergency department

Submitted: 31 August 2022
Accepted: 18 November 2022
Published: 20 December 2022
Abstract Views: 917
PDF: 275
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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.

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Citations

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How to Cite

Yılmaz, F., Tekin, Y., Toprak, N., Eyı̇nç M. B., & Arslan, E. D. (2022). A case of massive pulmonary embolism causing cardiac arrest managed with successful systemic thrombolytic in the emergency department. Emergency Care Journal, 18(4). https://doi.org/10.4081/ecj.2022.10827