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Emergency Medicine Journal 2007;24:669-670; doi:10.1136/emj.2007.049817
© 2007 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine

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REFLECTIONS ON PREHOSPITAL CARE

Neurological symptoms occurring in the context of ruptured abdominal aortic aneurysm: a paramedic’s perspective

David Fitzpatrick1, Donogh Maguire2

1 Scottish Ambulance Service Research and Development Officer, NMAHP Research Unit, Department of Nursing & Midwifery, University of Stirling, Stirling, UK
2 Wishaw General Hospital, Wishaw, Lanarkshire, UK

Correspondence to:
Correspondence to:
David Fitzpatrick
NMAHP Research Unit, Department of Nursing & Midwifery, University of Stirling, Stirling, FK9 4LA, UK; david.fitzpatrick{at}stir.ac.uk


ABSTRACT
Ruptured abdominal aortic aneurysm (RAAA) classically presents with sudden onset, severe ripping or tearing abdominal pain radiating through to the back. This case report describes features of an atypical presentation of a patient with RAAA and highlights the difficulties and uncertainties surrounding the prehospital assessment, appropriate treatment and management of these patients. All prehospital care educators and practitioners should be made aware of the wide spectrum of clinical manifestations for this condition.


Abbreviations: ED, emergency department; RAAA, ruptured abdominal aortic aneurysm




eLetters:

Read all eLetters

Confusion over rupture and dissection
Matt J Reed
EMJ Online, 20 Sep 2007 [Full text]
Re: Confusion over rupture and dissection
David Fitzpatrick, et al.
EMJ Online, 25 Oct 2007 [Full text]



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© 2007 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine