Case Study: Acute Respiratory Distress Syndrome (ARDS)

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Case Study: Acute Respiratory Distress Syndrome (ARDS) -Scenario: Rocky is a 56 y.o. aeronautical scientist who was involved in a motor vehicle crash (MVC). He was the driver of a vehicle that was hit... head-on, pinning him behind the steering wheel. The airbag deployed. He was intubated on scene by pre-hospital personnel and air lifted to a Level I Trauma Center. In the emergency department (ED) the trauma examination and work up revealed bilateral flail chest, right hemo- pneumothorax, splenic laceration, liver laceration, open fracture to the right tibula-fibula and probable cardiac contusion. He was quickly transferred from the ED to the operating theatre (OR) for repair of his injuries. In the OR he received 36 units of packed red blood cells (PRBCs) 20 units of platelets, 12 units of fresh frozen plasma (FFP), and 18 liters of lactated Ringer’s solution. Post-operatively he was taken to the Surgical-Trauma ICU for recovery and continued care. In the ICU, Rocky’s pulmonary status continued to require higher levels of mechanical support and higher levels of oxygen (FiO2). His daily chest radiograph (CXR), continued to worsen with the latest read being bilateral lung opacities, consistent with acute respiratory distress syndrome (ARDS). [Show More]

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