Resuscitation
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Extracorporeal life support (ECLS) has been applied successfully to patients with acute cardiopulmonary failure. However, ECLS remains controversial for traumatized patients who are prone to bleeding. ⋯ Using ECLS to resuscitate traumatic respiratory distress proved to be safe and effective when conventional therapies had been exhausted. Early deployment of ECLS to preserve systemic organ perfusion, aggressive treatment of coexisting injuries and tailored anticoagulation protocols are crucial to a successful outcome.
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Letter Case Reports
Cardiac arrest after air travel successfully treated by presumptive fibrinolysis.
Thromboembolic events should be strongly suspected in cases where medical events occur after prolonged air travel. Pulmonary embolism should be suspected in patients with sudden cardiac arrest. Consequently, patients should be managed according to this eventuality. We report a case of sudden cardiac arrest after air travel in which the patient survived after fibrinolysis was prescribed on a presumptive basis.