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Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1 From: RModugno@aol.com Fri Oct 12 16:27:02 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" Previous message: ashfa qureshi: "Re: JOB OFFER..." Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" Reply: Joanne Bulley, MD: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" In a message dated 10/10/2007 9:10:49 P.M. Eastern Daylight Time, stephen.raymond@dhhs.tas.gov.au writes: 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 Agree with Steve about embolization -How far are you from the US border? Submucus fibroids bleed like stink - and in my experience - lupron is of no value with submucus fibroids. Seems like some testicular fortitude is necessary and an emergency hyst or subtotal hyst is on the cards. Marco Pelosi demonstrated an interesting video at the ACOG meeting this year for treating menorrhagia in women with fibroids - bilateral ligation of the uterine arteries via the vagina - basically beginning a vag hyst without entering the peritoneal cavity and stopping once the uterine arteries are ligated. Feel like a pioneer, John? Robert Modugno MD MBA FACOG Sylva, NC Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" Previous message: ashfa qureshi: "Re: JOB OFFER..." Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1" Reply: Joanne Bulley, MD: "Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1"

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