1.
Wilderness Environ Med
; 33(4): 489-490, 2022 Dec.
Artículo
en Inglés
| MEDLINE
| ID: mdl-36243541
Asunto(s)
Parques Recreativos , Medios de Comunicación Sociales , Humanos , Estados Unidos , Trabajo de Rescate , Recreación
2.
Am J Emerg Med
; 37(9): 1808.e5-1808.e6, 2019 09.
Artículo
en Inglés
| MEDLINE
| ID: mdl-31253518
RESUMEN
Thrombolytics and extracorporeal membrane oxygenation (ECMO) are potential management options for massive pulmonary embolism (PE). There are early data supporting the use of repeated alteplase 50â¯mg bolus for massive PE. However, there is sparse literature addressing placement of ECMO catheters after systemic thrombolysis, and there are no reports of initiating ECMO after repeated bolus of alteplase. We present the case of a patient with massive PE who received two boluses of alteplase for recurrent cardiac arrest, followed by initiation of ECMO. The patient stabilized with these interventions, and ultimately had a good outcome with normal neurologic and functional status.