Cross started by making an incisions,after the pt was given a general anesthesia administered in liquid form via an IV ,as an open approach was being used the incision was approximately 4 to 5 inches long ,at this point Cross could hardly visualize the ruptured spleen.

The spleen has many blood vessels. The surgeon will find the blood vessels leading to and from the spleen and place clips on them to stop blood from flowing through to the organ. An open procedure allows the surgeon to see this area directly but with the amount of blood coming out a nurse had to put in a suction tube to clear the area so Cross was able to visualize the area more clearly.

The CMO knew how precarious the situation was,blood infusion was still being squeezed by hand, as the anesthesiologist looked at the vital signs ‘’Blood pressure down,heart beating too fast ‘’ he stated trying to keep calm .

Removal: The spleen was cut away from the other structures of the body, Cross was quick to control the blood supply by ‘’stapler’’ the splenic artery and vein. Once it was free, the spleen was placed in a sterile bag so it could be pulled out of the body. This is done so no pieces of the spleen are able to break off and remain in the abdominal cavity, where they could cause serious infection.

The nurse was on the second blood infusion pressing on the bag to replace the loss of blood,Cross ordered another saline solution which was attached to the other arm.The vital signs were not showing any improvement despite their efforts and then the unthinkable happened …the patient went into cardiac arrest…to be continued.

Cross CMO.