|
LeeMajors posted:But to be a complete realist out of hospital cardiac arrest generally has something like a 0.4% survival rate. maybe for unwitnessed events. It's like 10% surivval to hospital discharg for people who experience witnessed cardiac arrests and undergo CPR. Likely higher for this guy since he's young and doesnt have other comorbidities This was probably the best possible circumstqnces to suffer a cardiac arrest .. young healthy guy undergoes shockable malignant rhythm, gets Immediate medical attention/CPR/AED and swift transport to top tier hospital. It'll be a few days until they can prognosticate, all the sedation involved in the post-arrest cooling takes a while to clear out and you cant assess neuro effectively until then
|
#
¿
Jan 3, 2023 14:46
|
|
|
|
| # ¿ May 10, 2024 02:56 |
|
|
they might have done CPR for longer than necessary bc they couldn't find a pulse, not that there wasn't one. A weak thready pulse can be tough to detect by feel alone that's the optimistic take. 8 minutes of CPR isn't "stick a fork in him" by any means but that's longer than you'd hope to see.
|
|
#
¿
Jan 3, 2023 23:07
|
|
|
SpaceDrake posted:I am a little surprised that they allowed him to wake up while intubated. Like I absolutely get wanted to check his neurological status (and thank god it's great news) but holy poo poo I do not envy him being intubated while conscious for, what now, it'll be hours at a time potentially? I'd go spare or ask to just be KO'd again. its basically standard of care to do daily "sedation vacations" for patients on ventilator + sedation. You cut the sedation/analgesia, let them wake up a bit and usually pair it with trial of (mostly) unassisted breathing. Hopefully they are able to keep breathing on their own without issue and you can think about extubating them. If they dont pass, you resume ventilator support and sedation, maybe at a little lower dose, and try again tomorrow. It's fairly laborious for nursing and respiratory staff so it doesnt always get done but patients who undergo daily sedation vacation and weaning trial get extubated quicker and have better outcomes overall. being intubated and sedated is really bad for short and long term outcomes so you wanna get it out as soon as possible. A young guy who doesn't have any lung pathology, they're gonna be fairly aggressive in their attempts to extubate
|
|
#
¿
Jan 6, 2023 03:18
|
|
|
hobbesmaster posted:In addition to everything else “critical condition” isn’t a specific medical term and doesn’t have a universal definition. that's not really true, everyone uses the same AHA guidelines quote:Undetermined - Patient is awaiting physician and/or assessment. in this case, he's probably considered 'critical' bc he's on a vasoactive medication to regulate his cardiac functioning. Or maybe he's on some kind of monitoring that's only available in the ICU like arterial blood pressure monitoring. Or maybe they're keeping him in the ICU for no good reason at all.
|
|
#
¿
Jan 8, 2023 14:17
|
|
|
Kangra posted:I can't believe they cleared his heart to be with the team, especially with him staying at home. Hope some doctor here can clarify if that's safe in his current condition. his care team is intimately familiar w his condition and is in the best position to guide the speed of his recovery, what additional insight is an armchair MD gonna provide lol
|
|
#
¿
Jan 16, 2023 14:35
|
|