I work in a cardiac ICU. We had a patient who had a pulmonary artery rupture (a rare, but known complication of a Swan-Ganz catheter). One minute he was joking around with us and the next bright red blood was spewing out of his mouth. His last words before he died were “why is this happening to me?”
It still haunts me years later.
I’m an RT and had a vented trach patient in angio have the same thing happen. Vent waveforms got a little funky showing she needed suctioned. I walked up to her and saw bright red blood just start shooting up the vent circuit and immediately obstruct it.
I immediately said “she’s hemorrhaging” and the vascular surgeon said “no it’s just a little blood” thinking I was referring to his access site in her groin.
I popped her off of the vent and blood just started pouring out of her trach, mouth, and nose. She looked at me and said, “just let me die.”
The puddle of blood was about 6 feet in diameter on the floor within just a couple of minutes and I was covered from the chest down.
I’ve seen some shit, but that was the worst,
“But I don’t know how to get there…” Grandpa in hospice. Hadn’t spoken in days. Died about 2 hours later.