Consumptive coagulopathy from massive transfusion Quiz: Ace Your Exams
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A 43-year-old man is admitted to the intensive care unit (ICU) 18 hours after a stab wound to the right anterior chest. On initial presentation, the patient is hemodynamically unstable with absent breath sounds on the right, resulting in chest tube placement that returns 1700 mL of blood within 10 minutes. Given his instability in the trauma bay, a massive transfusion protocol is initiated. He receives 11 units of packed red blood cells (PRBC), 8 units platelets, and 10 units of plasma. He is subsequently taken to the operating room where a distal right subclavian artery injury is identified and repaired. On post-operative evaluation, temperature is 36°C (96.8°F), blood pressure is 95/67mmHg, pulse is 107/min, respiratory rate is 20/min, and oxygen saturation is 98%. The patient has blood oozing from all IV sites and the wound site. Which of the following sets of laboratory values is consistent with the most likely diagnosis?
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