Case Studies

Author: Dr David P Coates MB BS FRCA , Consultant Anaesthetist, Bristol Royal Infirmary, England

Introduction

Dr DUBOST Clément, Anesthesiology and Intensive care unit, Begin military hospital, SAINT-MANDE, FRANCE

Introduction

A 25-year-old soldier serving in Afghanistan was admitted due to multiple gunshot wounds. On admission to the military hospital he was breathing spontaneously and presented stable hemodynamics Heart rate (HR) 110 bpm and Blood pressure (BP) of 100/42 mmHg. Physical examination revealed two entry holes, one in the abdomen and one near the vertebral column.

Introduction

A 91-year-old man was admitted with acute decompensated heart failure and renal insufficiency with a baseline creatinine of 1.8 mg/dl. The patient had a history of chronic heart failure with ejection fraction (EF) of 30%, atrial fibrillation, ventricular tachycardia, sick sinus syndrome, status post biventricular pacemaker insertion and hypertension.

The patient’s medications included: furosemide, aspirin, clopidogrel, amiodarone, Carvedilol, hydralazine and Simvastatin.

Introduction

Introduction