Unstable saddle pulmonary embolism with concomitant subarachnoid hemorrhage

This case demonstrates a complex patient presenting with diagnosis of pulmonary embolism. He received heparin therapy, then subsequently found to have an intracranial hemorrhage, which rapidly progressed, leading to patient demise. Through this case, the reader should better understand the therapeut...

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Bibliographic Details
Published in:The American journal of emergency medicine 2022-12, Vol.62, p.147.e1-147.e3
Main Authors: Martin, Travis P., Panknin, Timothy, Drummond, Brian
Format: Article
Language:English
Subjects:
Anticoagulants
Anticoagulation
Cardiology emergency
Contraindications
Critical care
Embolism
Emergency medical care
Emergency medicine
Hemodynamics
Hemorrhage
Heparin
Hypotension
Neuro ICU
Neurosurgery
Pulmonary embolism
Pulmonary embolisms
Pulmonary hypertension
Subarachnoid hemorrhage
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Summary:This case demonstrates a complex patient presenting with diagnosis of pulmonary embolism. He received heparin therapy, then subsequently found to have an intracranial hemorrhage, which rapidly progressed, leading to patient demise. Through this case, the reader should better understand the therapeutic conundrums in critical PE patients and complications of anticoagulation.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2022.08.061