Early Transport for Exsanguination VSA

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asked 1 year ago

Hi, I'm wondering if I picked up a patient who exsanguinated from a non-traumatic event, if it would be appropriate to consider early transportation following the 1st analysis. For example if the patient had ruptured esophageal varices and bled to the point of cardiac arrest. I understand the importance of establishing an airway and treating within our scope, however; this individual needs a surgeon/physician in the same manner that someone who bleeds out from blunt or penetrating trauma needs a surgeon. Thanks.

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answered 1 year ago

Thank you for your question regarding VSA patients secondary to non-traumatic exsanguination. I would agree with your rational. Staying on scene to provide further analysis in these scenarios would most likely be futile, unless the patient is in a shockable rhythm. If the patient is in a non-shockable rhythm, I would consider a single analysis and then a load-and-go priority only if the proximity to the hospital is reasonable (10 minutes or less) and the patient went VSA while you were attending to them. If the patient was VSA on arrival or you are not in close proximity to the hospital, I would suggest you run your medical arrest directive in full and patch for a consult/TOR if no ROSC achieved.