[HSF] Just when you have seen everything.......#2

[Tea Acuff]

maybe ani can analysis this one also by credit for mortality result analysis. Local hospital (doc) still zero, referral hospital (doc) getting close to one. I am seeing a pattern.. 
tea



----- Original Message ----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, April 21, 2008 6:06:02 PM
Subject: [HSF] Just when you have seen everything.......#2

81 year/old, getting her hair done at a beauty parlor.
Fell on outstretched left arm - severe dislocation of left elbow with
fracture.
Taken to outside hospital - found to have 4 mm ST elevation
Flown right to our cath lab - arm not reduced yet (now 4 hrs out)
Severe multi-vessel CAD with fresh clot in her RCA........
Previous left breast CA with radiation (and skin changes)



oh did I mention she tore her brachial artery and has an expanding hematoma
in her elbow - we shot the artery at the time of her cath and there looks
like a stump with a blush - and with a dusky hand with no signals....

plan:  fix arm now, CABG in am - hopefully......



thoughts

just another routine 'low risk' case......


-michael
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