The criteria for thrombolytic and standard anticoagulation therapy modalities were defined as massive PE presenting with sustained hypotension (systolic blood pressure (SBP) <90 mm Hg for at least 15 min or requiring inotropic support, not due to a cause other than PE), pulselessness
, or persistent profound bradycardia.
Compartment syndrome is a clinical diagnosis according to the clinical syndromes, such as pain, paresthesia, pallor, paralysis, pulselessness
, and poikilothermia.
Massive PE is defined as suspected or confirmed PE in the presence of shock, sustained hypotension, pulselessness
or persistent profound bradycardia.
(4-6) Subsequent reports have also demonstrated absent or hypoplastic anterior tibial, dorsalis pedis, or posterior tibial arteries in clubfoot patients, (7) as well as increased pulselessness
in severe and neglected clubfoot.
Presence of open arterial bleeding, presence of an increased intended or pulsated haematoma, presence of six 'P' signs (Pulselessness
, Poikilothermia, Pallor, Pain, Paraesthesia, Paralysis) of the related extremities formed the basis of diagnosis with Computed Tomographic angiography done only in 9 cases (9.1%) with multiple fracture sites.
In 2014 and 2015, although not every event's bedside monitor data was captured, (2014: 51/102 (50%); 2015: 65/123 (53%)) the ability to use the multidisciplinary team to confirm or validate various objective measures (e.g., initial rhythm, time of pulselessness
, time to initiation of CPR, time from shockable rhythm to defibrillation, and use of a device to confirm endotracheal tube placement) allowed for appropriate identification of each CA event and accurate registry reporting.
and pallor are observed in advanced stage.
The AHA defines massive PE as an acute event coupled with sustained hypotension (systolic blood pressure less than 90mmHg for more than 15 minutes or requiring inotropic support), pulselessness
, or bradycardia in the absence of other causes.
Patients usually present with pain, pulselessness
, paresthesia, paralysis, polar and pallor (6 P's).
Classification of drowning patients based on clinical findings on initial presentation and associated mortality Grade Respiratory findings 0 Normal auscultation and no cough 1 Normal auscultation with mild cough 2 Rales, small amount of foam in mouth 3 Acute pulmonary oedema 4 Acute pulmonary oedema 5 Respiratory arrest 6 Cardiopulmonary arrest Grade Cardiovascular Mortality, % findings 0 Radial pulses present 0 1 Radial pulses present 0 2 Radial pulses present 0.6 3 Radial pulses present 5.2 4 Hypotension 19 5 Hypotension 44 6 Pulselessness
93 Adapted trom Schmidt et al.
In clinical practice, it refers to the "absence of cardiac mechanical activity." Clinical diagnosis is confirmed with unresponsiveness, pulselessness
, and apnea.
Only 2(2.5%) patients had circulatory problems and radial pulselessness
. Following ORIF, the pulse and circulation recovered.