[Successful resuscitation of a pulseless young woman with pulmonary embolus in rural Iceland].
A 27 year old woman suffered a witnessed cardiac arrest in rural Iceland and regained pulse after one hour's resuscitation. She was transported by an air ambulance to a tertiary medical center in Reykjavik where she was diagnosed with a large pulmonary embolus. After 24 hours therapeutic hypothermia she was rewarmed and extubated two days later. She was discharged from the hospital after two weeks neurologically intact. This case illustrates that even in rural circumstances the chain of survival works if all the links are strong, with early access, early resuscitation and early advanced care.
Department of Anaesthesia and Critical Care, Karolinska University Hospital, Soina. thorir.sigmundsson@karolinska.se
Thorir Svavar
TS
Sigmundsson
Bjarni
B
Arnason
Thora Elísabet
TE
Kristjansdottir
Vilhjalmur
V
Vernhardsson
D000328:Adult; D017732:Air Ambulances; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D058687:Out-of-Hospital Cardiac Arrest / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D011655:Pulmonary Embolism / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D011674:Pulse; D012151:Resuscitation; D019035:Rural Health Services; D016896:Treatment Outcome