Hdl Handle:
http://hdl.handle.net/10147/305286
Title:
Do not forget about HELLP!
Authors:
Bennett, Michael
Affiliation:
Emergency Department, Adelaide and Meath incorporating the National Children's Hospital, Dublin, Ireland. mbennett1977@gmail.com
Citation:
Do not forget about HELLP! 2011, 2011: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
2011
URI:
http://hdl.handle.net/10147/305286
DOI:
10.1136/bcr.08.2011.4693
PubMed ID:
22675099
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3207765/
Abstract:
A 32-year-old female para 4 gravi 3, who was 21 weeks pregnant, presented to the emergency department (ED) with a 2-day history of abdominal pain, headache, blurred vision and vomiting. On arrival, she was agitated and confused with a blood pressure 162/106 mm Hg, pulse rate 107, respiratory rate 18, temperature 37 degrees Celsius, point of care blood glucose 6.2 and her Glasgow coma scale was 13/15 M6V4E3. Paramedics witnessed seizure-like activity lasting <1 min during transport. A diagnosis of eclampsia complicated by the HELLP syndrome (haemolysis, elevated liver enzymes, low platelets count) was made. She was commenced on magnesium and labetalol intravenously for blood pressure control. Initial blood test results were consistent with the HELLP syndrome. Recognition of the HELLP syndrome with prompt management of blood pressure and clotting abnormalities is essential in the ED setting. An aggressive multidisciplinary approach is a key to optimise the prognosis for mother and fetus.
Language:
en
Keywords:
EMERGENCY MEDICAL CARE; PREGNANT WOMAN
MeSH:
Abortion, Spontaneous; Adult; Antihypertensive Agents; Eclampsia; Female; HELLP Syndrome; Humans; Labetalol; Magnesium; Platelet Transfusion; Pregnancy
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorBennett, Michaelen_GB
dc.date.accessioned2013-11-12T16:57:36Z-
dc.date.available2013-11-12T16:57:36Z-
dc.date.issued2011-
dc.identifier.citationDo not forget about HELLP! 2011, 2011: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid22675099-
dc.identifier.doi10.1136/bcr.08.2011.4693-
dc.identifier.urihttp://hdl.handle.net/10147/305286-
dc.description.abstractA 32-year-old female para 4 gravi 3, who was 21 weeks pregnant, presented to the emergency department (ED) with a 2-day history of abdominal pain, headache, blurred vision and vomiting. On arrival, she was agitated and confused with a blood pressure 162/106 mm Hg, pulse rate 107, respiratory rate 18, temperature 37 degrees Celsius, point of care blood glucose 6.2 and her Glasgow coma scale was 13/15 M6V4E3. Paramedics witnessed seizure-like activity lasting <1 min during transport. A diagnosis of eclampsia complicated by the HELLP syndrome (haemolysis, elevated liver enzymes, low platelets count) was made. She was commenced on magnesium and labetalol intravenously for blood pressure control. Initial blood test results were consistent with the HELLP syndrome. Recognition of the HELLP syndrome with prompt management of blood pressure and clotting abnormalities is essential in the ED setting. An aggressive multidisciplinary approach is a key to optimise the prognosis for mother and fetus.en_GB
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3207765/en_GB
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subjectEMERGENCY MEDICAL CAREen_GB
dc.subjectPREGNANT WOMANen_GB
dc.subject.meshAbortion, Spontaneous-
dc.subject.meshAdult-
dc.subject.meshAntihypertensive Agents-
dc.subject.meshEclampsia-
dc.subject.meshFemale-
dc.subject.meshHELLP Syndrome-
dc.subject.meshHumans-
dc.subject.meshLabetalol-
dc.subject.meshMagnesium-
dc.subject.meshPlatelet Transfusion-
dc.subject.meshPregnancy-
dc.titleDo not forget about HELLP!en_GB
dc.contributor.departmentEmergency Department, Adelaide and Meath incorporating the National Children's Hospital, Dublin, Ireland. mbennett1977@gmail.comen_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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