en Rapid Revival of a Patient after very Severe Metabolic Acidosis: A Case Report عمومى General پژوهشي Research <b>Background:</b> Metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation. <br><b>Case: </b>The case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (L2). The serial arterial blood gas (ABG) test results showed a pH value of 6.7 indicating a very severe and special case of metabolic acidosis. The rate of mortality for such a case was very high. The patient was treated with sodium bicarbonate and successfully revived after four hours post treatment and metabolic acidosis was resolved. <br><b>Conclusion:</b> This indicated that bicarbonate administration is useful for very severe cases. The good condition of the patient after survival from the severe academia allowed for extubation. Metabolic Acidosis, Resuscitation ,Trauma Patients. Metabolic Acidosis, Resuscitation ,Trauma Patients. 779 781 http://ijt.arakmu.ac.ir/browse.php?a_code=A-10-29-10&slc_lang=en&sid=1 Sajad Ahmadi سجاد احمدی 10031947532846002444 10031947532846002444 No Resident of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Resident of Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Samad Shams Vahdati صمد شمس وحدتی shams@tbzmed.ac.ir 10031947532846002445 10031947532846002445 Yes Department of Emergency Medicine, Tabriz University Of Medical Sciences, Tabriz, Iran. Department of Emergency Medicine, Tabriz University Of Medical Sciences, Tabriz, Iran. Henghameh Khadivi Heris هنگامه خدیوی هریس 10031947532846002446 10031947532846002446 No Intern Ship, Tabriz University of Medical Sciences, Tabriz, Iran. Intern Ship, Tabriz University of Medical Sciences, Tabriz, Iran. Mohammadali Khajehee محمدعلی خواجه ای 10031947532846002447 10031947532846002447 No Emergency Physician, Sina Hospital,Tabriz University of Medical Sciences, Tabriz, Iran. Emergency Physician, Sina Hospital,Tabriz University of Medical Sciences, Tabriz, Iran.