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Do not forget about HELLP!

Michael Bennett1

  • 1Emergency Department, Adelaide and Meath incorporating the National Children's Hospital, Dublin, Ireland. mbennett1977@gmail.com

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PubMed
Summary
This summary is machine-generated.

Eclampsia with HELLP syndrome requires prompt recognition and management in the emergency department. Early intervention improves outcomes for both mother and fetus.

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Area of Science:

  • Obstetrics and Gynecology
  • Emergency Medicine
  • Critical Care Medicine

Background:

  • Eclampsia is a severe complication of pregnancy characterized by seizures.
  • HELLP syndrome (haemolysis, elevated liver enzymes, low platelets) is a life-threatening condition often associated with pre-eclampsia and eclampsia.

Observation:

  • A 32-year-old pregnant patient presented with symptoms of eclampsia and was diagnosed with superimposed HELLP syndrome.
  • The patient exhibited altered mental status, hypertension, and seizure activity.
  • Initial laboratory results confirmed the presence of HELLP syndrome.

Findings:

  • Prompt administration of magnesium sulfate and labetalol was initiated for seizure prevention and blood pressure control.
  • Aggressive management of hypertension and coagulopathy was crucial.
  • Multidisciplinary care was essential for optimizing patient prognosis.

Implications:

  • Early identification and management of HELLP syndrome in the ED setting are critical.
  • A coordinated, multidisciplinary approach significantly improves maternal and fetal outcomes.
  • This case highlights the importance of rapid diagnosis and intervention for severe obstetric emergencies.