The One-Two Punch of Cardiac Arrest: Disseminated Intravascular Coagulation After Return of Spontaneous Circulation

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Conference Proceeding

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15yo female with history of seizures presented in PEA arrest with ROSC achieved after multiple rounds of CPR. Initial work-up demonstrating acute renal failure, shock liver, and ischemic brain injury. Nine hours later, profuse bleeding was noted at vascular access sites and mucous membranes. Repeat labs showed INR 1.8, plt 59k, d-dimer >10,000 consistent with disseminated intravascular coagulation. Her hgb, plt, and BP continued to decline despite multiple units of blood products and initiating vasopressors. Despite best efforts, hypotension and hemorrhaging continued up until family opted for comfort care. We will discuss the unique presentation and management of post-resuscitation DIC.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.