SWORD

1. A case of undiagnosed AAA before which presented to A&E after an alleged MVA. Brought in GCS 13/15 hypotensive. US abd showed a leaking infrarenal AAA. Also sustained 5th rib fracture with no underlying hemo/pneumothorax. Operated on him, and aneurysm was repaired. Total of 12 pint of blood and 3 DIVC regime was given .Currently in ICU. New development respiratorty system not good, suggestive of transfusion related acute lung injury

Q - Define TRALI - Mr. Hanafiah
A - keyword to hear is non cardiogenic lung injury + the other criterias

Q - Why DIVC regime was ordered for this man? - Prof. Ismail

Q - Complication of massive blood transfusion? - Mr. Hanafiah

Mr. Lukman asked Mr. Hanafiah if this type of case was seen in other centre without vascular surgeon what will we do?
A - pray..... clamped the aorta and call for help (vascular surgeon) and pray

zairul