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Updated: Jan 9, 2026

Complete and Partial Aortic Occlusion for the Treatment of Hemorrhagic Shock in Swine
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Published on: August 24, 2018

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A Case Report of Timely Interventions in Postpartum Hemorrhage: The Role of Real-Time Surveillance, Uncrossmatched

Manal Saad1, Shubhangi Singh1,2, Kyle Latack2

  • 1From the Department of Anesthesiology.

A&A Practice
|December 2, 2025
PubMed

A 41-year-old G2P1 underwent a vaginal delivery complicated by a retained placenta, uterine atony, and a massive postpartum hemorrhage of 4000 mL. Despite hypotension, care was not escalated, possibly due to the absence of tachycardia, pallor, or mental status changes. While maternal early warning criteria failed to trigger an alert, an electronic real-time surveillance platform activated a team response. The patient became unresponsive with a systolic blood pressure of 47 mm Hg and severe hypoxemia. Aortic compression restored consciousness. She was resuscitated with uncrossmatched blood and never-frozen plasma. Rotational thromboelastometry showed preserved coagulation. Automated alerts and rapid intervention were lifesaving.

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