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Heathrow to ICU direct.

Oisin O'Connell1, Bronwen Rhodes, Geoff Shaw

  • 1Department of Respiratory Medicine, Christchurch Hospital, Christchurch, New Zealand.

The New Zealand Medical Journal
|April 5, 2005
PubMed
Summary
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A massive pulmonary embolism (PE) caused cardiac arrest after a long flight but was successfully treated. This case highlights rapid emergency interventions for life-threatening travel-related PE.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Pulmonology

Background:

  • Long-haul travel is a known risk factor for venous thromboembolism.
  • Massive pulmonary embolism (PE) can lead to hemodynamic instability and cardiac arrest.

Observation:

  • A patient developed witnessed pulseless electrical activity (PEA) secondary to a massive PE after a long-haul flight.
  • The patient presented to the Emergency Department with critical signs of PE.

Findings:

  • Successful resuscitation was achieved with cardiopulmonary resuscitation (CPR).
  • Emergency perimortem thrombolysis was administered, leading to return of spontaneous circulation.
  • The patient recovered sufficiently to continue her travel.

Implications:

Related Experiment Videos

  • This case underscores the importance of early recognition and aggressive management of massive PE in the emergency setting.
  • Prompt cardiopulmonary resuscitation and thrombolysis can be life-saving interventions for PEA due to massive PE.
  • Highlights the potential for successful outcomes even in critically ill patients following travel-related PE.