ABSTRACT
The purpose of this paper is to describe the journey of the National Hartford Center for Gerontological Nursing Excellence, a 501(c)(3) organization, during the COVID-19 pandemic. Using the RISE (resilience, intention, sustain, and endurance) model, the organization's response is detailed. The COVID-19 pandemic pushed us to think about the way we operate and proactively develop and implement strategies for the organization. For example, changing to a virtual format for our leadership conference was a very successful change that has influenced our planning for future conferences. We are emerging as a stronger organization due to our initial and sustained responses to this crisis.
ABSTRACT
BACKGROUND: Vaccine Induced Thrombotic Thrombocytopenia (VITT) is a rare complication following ChAdOx1 (AstraZeneca) vaccination. Venous thrombosis in unusual sites such as splachnic or intracranial thrombosis, is the commonest manifestation. CASE REPORT: We report a 35-year-old male patient who presented with acute left leg ischemia and thrombocytopenia 11-days after vaccination requiring emergent thrombectomy. During work-up, a localized thrombus was detected in the left carotid bifurcation mandating carotid thrombectomy. Localized right iliac thrombus causing a non-limiting flow stenosis was treated conservatively. The platelet aggregating capacity of patient's plasma was confirmed in a functional assay, thereby establishing VITT. CONCLUSION: To the best of our knowledge this is the first case presenting multiple arterial thromboses requiring surgical treatment after ChAdOx1 vaccination.