LAUSR

A 68-year-old woman presenting with multiple rib, spine fractures, femur and ankle fractures after a fall from height was admitted. Although she responded to verbal orders appropriately at the time of admission, her consciousness drastically deteriorated after 4.5 hours of the accident. She presented a decerebrate posture and acute respiratory failure with bilateral diffuse infiltration consistent with non-cardiogenic pulmonary oedema, requiring mechanical ventilation. She was also complicated with decreased platelet count, suggesting fat embolism syndrome (FES). At the time of the acute deterioration, brain CT demonstrated no gross abnormality, except for …