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Chest clinic
Images in Thorax
Fatal haemoptysis caused by a ruptured Rasmussen's aneurysm
  1. Shu-Yu Shih1,2,3,
  2. I-Chen Tsai4,5,
  3. Yao-Tien Chang1,2,3,6,
  4. Yu-Tse Tsan1,2,3,7,
  5. Sung-Yuan Hu1,2,3,6
  1. 1Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan, Republic of China
  2. 2Department of Emergency Medicine, Chung Shan Medical University Hospital, Taiwan, Republic of China
  3. 3School of Medicine, Chung Shan Medical University, Taiwan, Republic of China
  4. 4Department of Radiology, Taichung Veterans General Hospital, Taiwan, Republic of China
  5. 5Institute of Clinical Medicine, School of Medicine, National Yang Ming University, Taiwan, Republic of China
  6. 6National Taichung Nursing College, Taiwan, Republic of China
  7. 7National Taiwan University, Taiwan, Republic of China
  1. Correspondence to Sung-Yuan Hu, No. 160, Sec. 3, Chung-Kang Road, Taichung, Taiwan 00407, Republic of China; song9168{at}pie.com.tw

https://doi.org/10.1136/thx.2010.135616

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    A 47-year-old woman with a past history of pulmonary tuberculosis presented to our institution with out-of-hospital cardiac arrest because of massive haemoptysis after severe coughing. On arrival, immediate cardiopulmonary resuscitation with chest compression, endotracheal intubation and intravenous epinephrine 1 mg with an interval of 3 min for asystole was performed. Twelve minutes later she was defibrillated twice with 150 joules and intravenous epinephrine of 1 mg with an interval of 3 min for ventricular fibrillation was given. Return of spontaneous circulation with a blood pressure of 181/98 mm Hg and a pulse rate of 80 beats/min was achieved 4 min later. Fluid replacement, blood transfusion, tranexamic acid and pitressin were given for persistent gushing of fresh blood from the endotracheal tube. It was suspected that …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.