[Prehospital thrombolysis of a pulmonary embolism with a severe shock].
The prehospital thrombolysis of a pulmonary embolism with high vital risk is not the subject of any recommendation. We report the case of a severe shock related to a suspicion of pulmonary embolism with favourable issue after the administration of a thrombolytic drug in prehospital conditions. The evolution's speed and the constraints of mobilization resulted in choosing an aggressive therapeutic strategy after evaluation of the benefit/risk ratio made only on the clinical data.
Boursier
F
F
Smur, centre hospitalier de Gonesse, 25, rue Pierre-de-Theilley, 95503 Gonesse, France. chat.boursier@libertysurf.fr
Maistre
J P
JP
Saddedine
M
M
Pernot
T
T
Adnet
F
F
D000368:Aged; D002316:Cardiotonic Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004280:Dobutamine / Q000627:therapeutic use; D004452:Echocardiography; D004632:Emergency Medical Services; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007442:Intubation, Intratracheal; D011655:Pulmonary Embolism / Q000150:complications / Q000628:therapy*; D012769:Shock / Q000150:complications / Q000628:therapy*; D013575:Syncope / Q000150:complications; D015912:Thrombolytic Therapy
D002316:Cardiotonic Agents; D004280:Dobutamine