Thursday, June 17, 2010

AAA = bad

I took care of my first ruptured AAA last night. Can I just say...HOLY SHIT that was scary.

More coherent posts will follow, but I just needed to get that off my chest so I can sleep today.

4 comments:

Anonymous said...

I had a AAA about a month ago - EIGHT centimeters; no clue how it hadn't ruptured before. Was beginning to dissect on my shift, we sent the pt off to a much larger facility via helicopter. I'm not sure how it turned out. Wild stuff.

The Highlands Mathis said...

Seriously, those are things most people don't recover from. I spent a year in the OR with Vascular cases and saw about 20 AAA repairs. Even when it is detected before it ruptures, the surgery is risky and people lost legs, feet, and kidneys from dislodged clots or occluded arteries.

torontoemerg said...

Yep. Scary. Did s/he live?

Chris [The Man-Nurse Diaries] said...

We recently had a ruptured AAA, patient was talking and then bam, coded. Eventually she came back because so much blood can eventually tamponade itself, apparently. I just assisted with the code, wasn't my patient, but I think they eventually let them go.