gece £9 Prowder Nig dato nd sponse ime calc eo te ves 2 nao pine lth eet "Sn hapten ents abet apron 0 some nat Sp sag San anole ate pe, ns benage spe. No bec pan fet uae es paca fereaded into the worn tow formation 2 heading ater the proce ‘The patient olerated the proce wel Complications: blecins Arterial Line Pizcement Procedure Note Indication: eardiovasculsr instability Consent: Unable to be obiaines due to the emergent nature of his procedure Allen's Test: Normal Procedure: The skin ove the ef racial arery was pravped wth betadine anc ccapad in aster fashon, Local aresthasie was nal pavirmes due toa emergent nate of his procedure, An 18 gauge arterial ine Catheter was then inserted and | wos unable to get any blood rt. Patients under hypothermia protocal ‘and is kely resulted n some vasospasm, Atempt was made on he lef femora artery after cleansing the sin Ah Betodihe. ‘She again had very low blood pressures and was unable fo access the artery. had to Yerminate the provecire because the patient had en esi of eqgen desaturation not related to this procedure, Pressure bandage placed ate atten ‘The patient tolerated the procedure wel Complications: Nove ED COURSE & MEDICAL DECISION Pertinent Labs & riaging studies revowed. & r 41921: Patent srived at 6:56 PM ond we contMUED eT ogTeSve management. Patient nb Inmediotey on oro, CPR wos continues and peraeraesaelshed fr stint High elnica suspicion Ter puimenary embokis so the pai Was given thrombolytic tera infuse ‘over 2 hours beeause of the severly of He paient's stualOn. She received 100 mg over approximately 10 ‘minutes. ler administration of hrombolytes, patient had rum of spontaneous respiratory effort end pulse {although her neurologic exam remained unchanged. veal she sa very poor prognosis relaed to unknown but tkely prolonged down ime. Hypathermia protocol inte. Workup initiated. 2102: Procedures a described. Labs show delectable PO and no other abnormalities. Patient wil be caprted tothe ICU. Line procedures unsuacesstl, 80 ROSAS service comfortable speaking wth anesthesia to perform his in the ICU. Post procedural chast xray UntEmarkabo, than 75 minutes indi a! evaliation, agressive manegement, revi of i ae aes, otal critical care time of gr pel crseal care tne ot eee