Open AccessExpanding the discussion on fibrinolytic contraindications
Author(s) -
Ertan Sönmez,
Serdar Özdemir,
Bedia Gülen,
Bahadır Taşlıdere,
Ayşe Büşra Özcan
Publication year - 2021
Publication title -
deneysel ve klinik tıp dergisi/journal of experimental and clinical medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.103
H-Index - 3
eISSN - 1309-4483
pISSN - 1309-5129
DOI - 10.52142/omujecm.38.4.46
Subject(s) - medicine , pulmonary embolism , fibrinolytic therapy , intensive care medicine , resuscitation , emergency department , fibrinolytic agent , emergency medicine , cardiology , myocardial infarction , antithrombotic , psychiatry
The European Resuscitation Council Guidelines recommend the administration of fibrinolytic therapy when acute pulmonary embolism is a known or suspected cause of cardiac arrest. However, contraindications that limit the use of fibrinolytics are sometimes challenged by clinicians, including head trauma in the previous three weeks. We report on the successful use of rescue fibrinolytic therapy on a patient with acute head trauma who had a cardiac arrest in the emergency department as a result of a pulmonary embolism (PE). To the best of our knowledge, this is the first case of successful fibrinolytic therapy for a patient with acute head trauma in the literature.