Refractory Hypotension after Successful Cardiac Arrest Resuscitation- Time to Rule Out Vasoplegic Syndrome.

ABSTRACT

A 26 year old male presented to the emergency department with alleged history of RTA and sustained run over injury to right lower limb. On examination his vitals were HR-132/min. BP-70/42 mmHg SpO2 – 97% with room air. He was papery pale, drowsy and arousable to calls. A provisional diagnosis of severe hypovolemic shock was made. 16G Venflon was secured and resuscitation initiated with crystalloids and colloids. Blood samples sent for routine investigations (CBC, RFT) and blood grouping, typing and coagulation parameters. Meanwhile during resuscitation patient had cardiac arrest with asystole for which CPR initiated and ROSC achieved in 5 minutes. His haemoglobin levels were 5 g% with ABG showing mild metabolic and lactic acidosis. He was then stabilised with 3 units of PRBC in ER and shifted to CT scans. OF CASE