One week post-operatively, she presented with exsanguinating
hemorrhage and was taken for an urgent open exploration where the source of the bleeding was found to be from the left internal iliac vein.
Risk factors of mortality in non-trauma exsanguinating
patients that require damage control laparotomy.
Osamura et al., "Exsanguinating
bleeding following tooth extraction in a 12-year-old girl: a rare case of acquired haemophilia A," Blood Coagulation & Fibrinolysis, vol.
The pelvic C-clamp was introduced as a stabilization device to reduce and compress the posterior pelvis in patients with exsanguinating
Management of patients with bleeding from an anomalous subclavian artery to esophagus fistula is very challenging since bleeding in these patients presents as abrupt, rapidly exsanguinating
hematemesis, and the etiology is from an unusual and unexpected source.
McGonigal et al., "'Damage control': an approach for improved survival in exsanguinating
penetrating abdominal injury," Journal of Trauma--Injury, Infection and Critical Care, vol.
Her initial diagnosis was upper gastrointestinal hemorrhage, but this was changed when bile was observed in the nasogastric tube after which the patient developed exsanguinating
hematochezia and severe hypotension requiring 11 units of packed red cell transfusion for stabilization.
Administration of fibrinogen concentrate in exsanguinating
trauma patients is associated with improved survival at 6 hours but not at discharge.
Open biopsy can be diagnostic; however, it may cause exsanguinating
Transfusion has a long history as the only available lifesaving therapy for patients with exsanguinating
hemorrhage and potentially fatal anemia.
* Use of an extremity tourniquet to establish a bloodless operative field after exsanguinating
the arm by elevation.