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Emergency management

Authoring team

In the emergency management of a leaking or ruptured AAA, the admitting doctor acts firstly as a coordinator, alerting the relevant teams of the emergency. These include, in order:

  • blood bank - ten units of blood need cross matching
  • theatres - including the anaesthetists
  • senior members of the admitting team
  • vascular surgeons - if not included in the admitting team
  • the nursing staff in the admitting facility

On arrival in hospital priorities are as follows:

  • very rapid assessment
  • establishing venous access - large venflons, each arm
  • blood for cross match
  • start resuscitation - haemaccel, normal saline etc., but note that this is one of the few situations where transfer to theatre and surgery should occur despite inadequate resuscitation

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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