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What type of medical attention/ medicine would be given to a sudden cardiac arrest patient? |
the person is 33 yo blk male about 215# has no history of heart problems, only asthma. worked out and worked every day, a little over weight but other wise in good shape. and later died. plz help? It really depends on the underlying cardiac rhythm. I can only tell about the prehospital side of medicine. I don't even pretend to know what exactly goes on after I bring the patient in. first of all if he was found by a first aider or the ambulance they would first give him 30 compressions regardless of the weight of height he is and once the 30 compressions are finished they would give 2 rescue breaths then repeat, i would think the paramedics would give him Adrenalin though an intravenous drip, then shocked him, and might of put a tube down his throat to make him breath. Then take him to hospital where they try and get his heart started, by given him more Adrenalin and shocking him they would do there best trust me. I only know first aider stuff am not a doc so am not too sure but thats what i think they do Besides stabilizing the patient with supportive drug therapy, and putting him on EKG monitoring, it would be vital for me to determine why he arrested...what caused the problem. Asthma suggests a possible allergy to something. While you didn't mention heighth, I assume he was not obese from his work-outs. An internist (internal medicine specialist) is like a dectective and we must look for clues to guide us towards a diagnosis. Was there any increase in fatigue, shortness of breath ( in spite of the asthmatic problem), dizziness, etc.For immediate treatment, i would have used conventional CPR and perhaps resorted to electro-stimulation if he did not respond quickly. Drug therapy depends on judgment at the moment but we would need to prevent acidosis and that requires intravenous solutions. Really the only person who could decide what medication is the physician himself as he is using his best skills and his knowledge and to second guess him is inappropriate. I am a physician and an internist but please remember that in spite of our best efforts, we too fail. During a cardiac arrest, so many things are happening that trained teams work together to accomplish virtual miracles...nurses, doctors and technicians...and we hate to lose our fight against death. I gave up practice as I felt so low and miserable after a death that I didn't want to bear it. I am sorry for your loss but believe me, they really tried. On TV they advertise this manuel difibrilator that's really easy to use. I suggest you buy one. |
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