• Can J Emerg Med · Jan 2003

    Neurologically normal survival after fibrinolysis during prolonged cardiac arrest: case report and discussion.

    • Kevin Clark, Riyad B Abu-Laban, Peter J Zed, and Lois Graham.
    • University of British Columbia FRCP Emergency Medicine Residency Program, Vancouver, British Columbia, Canada.
    • Can J Emerg Med. 2003 Jan 1;5(1):49-53.

    AbstractCardiac arrest secondary to pulmonary embolism is a devastating condition with a high mortality rate. It is currently unclear whether fibrinolysis (thrombolysis) is beneficial in this setting. We report the case of a 28-year-old woman with a pulmonary embolism who developed return of pulses following the administration of tissue plasminogen activator after 38 minutes of pulseless electrical activity cardiac arrest. She went on to make a full neurologic and cardiopulmonary recovery. This case is discussed with reference to the current literature on the subject.

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