Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Wed Oct 10 20:09:49 2007


Getting a pack into this uterus in the presence of fibroids and being sure that it is going to put its pressure in the appropriate place is not going to be easy nor is it going to guarantee a result!

Transfer to a place where they can do embolisation, or do the hyst with informed consent.

Has it been established that she is not bleeding from an infected LEEP site?

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe Sent: Wednesday, 10 October 2007 11:28 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1

pack,pack,pack. A great method , even abdominally , to save a life from bleeding. Joe C

Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote:

> 32 y.o. G0 P0, cardiac arrest in radiology department 12 days ago,
> sucessfully ressusitated no ill effects, M.I. confirmed with troponin
> and cmbk levels. On plavulin and a whole bunch of other crap for her
> heart. Presents with profuse vaginal bleeding had leep three weeks
ago > negative for dysplasia. Uterus 18weeks size cerix 3 cm dilated 100%
> effaced multiple fibroids palaple through cervix. Hgb 105 drops to 85
> in 4 hours. Radiology says they don't do emobolization.
> -Let her bleed to death.
> -Operate old fashion hyst.
> - pack uterus to buy some time.
>
> Any other bright ideas.
>
> --
> Take care, John
>

CONFIDENTIALITY NOTICE AND DISCLAIMER

The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose.





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Jul 2 04:47:50 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.