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Case Studies | Anaesthesiology | Volume 15 Issue 4, April 2026 | Pages: 460 - 462 | India
Push to Pulse: Resuscitation of a Patient in Hemorrhagic Shock - A Case Report
Abstract: Background: Intraoperative hemorrhagic shock due to accidental vascular injury is a rare but potentially fatal perioperative complication. Rapid identification and immediate resuscitation guided by established protocols are essential for patient survival. Case Presentation: We report the case of a 32-year-old male who sustained catastrophic hemorrhage following inadvertent transection of the femoral artery during surgical debridement of an infected amputation stump. Blood loss of approximately 2.5 litres led to hemorrhagic shock and subsequent cardiac arrest. Immediate Cardiopulmonary Resuscitation (CPR) following the AHA Advanced Cardiovascular Life Support (ACLS) algorithm achieved Return of Spontaneous Circulation (ROSC) within four minutes. Post-resuscitation care, emergency femoral artery ligation, and intensive care unit management resulted in haemodynamic stabilisation. Conclusion: This case underscores the life-saving value of prompt, guideline-based resuscitation, multidisciplinary teamwork, and adherence to ATLS principles for fluid and blood product replacement in perioperative hemorrhagic emergencies.
Keywords: Hemorrhagic shock, cardiac arrest, cardiopulmonary resuscitation (CPR), return of spontaneous circulation (ROSC), ACLS, ATLS, femoral artery injury, perioperative emergency, intraoperative hemorrhage, epinephrine, multidisciplinary resuscitation
How to Cite?: Dr. Risha Dasgupta, Dr. Jessy Vennel, Dr. Deepika Sathe, "Push to Pulse: Resuscitation of a Patient in Hemorrhagic Shock - A Case Report", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 460-462, https://www.ijsr.net/getabstract.php?paperid=MR26406204905, DOI: https://dx.dx.doi.org/10.21275/MR26406204905