CJEM Articles: Lois Graham
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Neurologically normal survival after fibrinolysis during prolonged cardiac arrest: case report and discussionJanuary 2003 5 1Kevin Clark, Lois Graham, Peter J. Zed, Riyad B. Abu-Laban
Cardiac arrest secondary to pulmonary embolism is a devastating condition with a high mortality rate. It is currently unclear whether fibrinolysis (thrombolysis) is beneficial in this setting. We report the case of a 28-year-old woman with a pulmonary embolism who developed return of pulses following the administration of tissue plasminogen activator after 38 minutes of pulseless electrical activity cardiac arrest. She went on to make a full neurologic and cardiopulmonary recovery. This case is discussed with reference to the current literature on the subject.