Permissive hypotension
Permissive hypotension is also known as hypotensive resuscitation and low volume resuscitation. The concept remains controversial and is primarily applicable to the penetrating trauma patient
Permissive hypotension is also known as hypotensive resuscitation and low volume resuscitation. The concept remains controversial and is primarily applicable to the penetrating trauma patient
An 80 year old woman arrests in your department. She had presented an hour earlier with back pain. You start to prepare for a subcostal view of the heart and this is what you see.
A 71 year old man presents with severe back pain and hypotension. You suspect abdominal aortic aneurysm (AAA).
A 68 year old man is brought in by ambulance with severe lower back and lower limb pain and paralysis. Clinically he has lower limb ischaemia and you wonder about aortic dissection as the cause.
84 year old chap with ?renal colic deteriorates. On review you find his pain has worsened and he is pale, sweaty and hypotensive. Is this a vagal response to pain, a reaction to his analgesia or something else? You scan his aorta.
A 78 year old woman has a pulsatile mass in her mid abdomen. You wonder whether it is an abdominal aortic aneurysm.
Consider a 65 year-old male presenting with right-sided flank pain radiating to the groin. The following CT scan was taken to confirm a presumed diagnosis of renal colic: