The American journal of case reports
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Accidental hypothermia complicated by cardiac arrest carries a high mortality rate in urban areas. For moderate hypothermia cases conventional rewarming methods are usually adequate, however in severe cases extracorporeal membrane oxygenation (ECMO) is known to provide the most efficient rewarming with complete cardiopulmonary support. We report a case of severe hypothermia complicated by prolonged cardiac arrest successfully resuscitated using ECMO. ⋯ This case demonstrates the advantages of advanced internal rewarming techniques, such as ECMO, for quick and efficient rewarming of severely hypothermic patients. This case supports the use of ECMO in severely hypothermic patients as the standard of care.
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Female, 32 FINAL DIAGNOSIS: Intraosseous lipoma Symptoms: Swelling of the thigh Medication: - Clinical Procedure: Excision of the mass Specialty: Surgery. ⋯ A intraosseous lesion with this size could still be benign even if its lager than 5 cm. Keeping in mind that with a lesion this size malignancy should always be ruled out.
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Female, 36 FINAL DIAGNOSIS: Pregnancy - placenta increta Symptoms: - ⋯ CIABO was found to be more effective than IIABO for reducing blood loss during cesarean hysterectomy. Failure of IIABO can be explained by the presence of extensive anastomoses in the pelvic vasculature.
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Female, 65 FINAL DIAGNOSIS: Ruptured abdominal aorta aneursym Symptoms: - ⋯ Emergency physicians should keep in mind that AAA and its rupture can present with a wide range of symptoms that appear to be simple.
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Male, 19 FINAL DIAGNOSIS: Hyperleukocytosis • thrombocytosis ⋯ We and others showed that myeloproliferative neoplasm, quantitative or qualitative platelet abnormalities, aspirin, coagulopathy, and obesity are associated with development of RPH following BM trephine biopsy. Early diagnosis and intervention are crucial. Correction of coagulopathy and cessation of anti-platelet treatment prior to biopsy can prevent this serious complication.