A 37-year-old woman is brought to the emergency department after sustaining a severe crush injury to her right lower extremity. She is taken to the operation room (OR) where her lower extremity is explored, washed out, has an external fixation device placed, and a wound vacuum device placed over the open wound. The surgery takes several hours, and she is admitted to the ICU after the surgery. Her wound vacuum output is 1.5 L of frank blood over the next 4 hours. She received 2 U of PRBCs during the surgery and has received 3 more units since arriving in the ICU, and 1 more unit is being transfused now. Her heart rate is 120 beats/minute and her blood pressure is 90/60 mm Hg.
Her current hemoglobin concentration is 7 g/dL and platelet count is 475,000. Her INR is 1.9. Her temperature is 35°C. * This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case…
