A novel use of ultrasound in pulseless electrical activity: The diagnosis of an acute abdominal aortic aneurysm rupture

Robert G. Hendrickson, Anthony J. Dean, Thomas G. Costantino

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

We report a case of a patient who presented to the Emergency Department with pulseless electrical activity. A rapid diagnosis of ruptured abdominal aortic aneurysm was made by Emergency Medicine bedside ultrasonography. On arrival, the patient was without palpable pulses and bradycardic. Therapy with epinephrine, fluids, and atropine was initiated. A bedside ultrasound was immediately performed and revealed coordinated cardiac motion with empty ventricles. A rapid search for signs of blood loss in the abdomen revealed a large abdominal aortic aneurysm. Pulses were restored with fluid, blood, and epinephrine and surgical intervention was begun within 30 min of patient arrival.

Original languageEnglish (US)
Pages (from-to)141-144
Number of pages4
JournalJournal of Emergency Medicine
Volume21
Issue number2
DOIs
StatePublished - Aug 20 2001

Keywords

  • Abdominal aortic aneurysm
  • Echocardiography
  • Pulseless electrical activity
  • Ultrasound

ASJC Scopus subject areas

  • Emergency Medicine

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