Initial Rhythm:
Description of Code:
CPR was initiated and conducted as per ACLS protocol.
Total duration of CPR:
Drugs:
– Epinephrine x ***
– Insulin + D50 as well as calcium gluconate for hyperkalemia as potential etiology of cardiac arrest
– Sodium bicarb for treatment of acidosis
– Fluid bolus
– Atropine
– Pressors initiated – ***
Intubation: Performed by me
Lines Placed:
Result of Code: ROSC/Death
Next of kin notified: Yes
Primary attending notified: Yes
During the code, possible causes of asystole were reviewed, including hypoxia (100% oxygen via XXX tube), hypothermia, hypo/hyperkalemia, hypomagnesemia, hydrogen ion acidosis (calcium given for membrane stabilization, sodium bicarb given for acidemia), hypovolemia (IV fluids running). Trauma (none reported, no evidence of on phys exam), toxins (no history), tension pneumothorax (bilateral breath sounds present), cardiac tamponade (no pericardial effusion noted on ultrasound), acute myocardial infarction and pulmonary embolism. Cannot rule our acute myocardial infarction or pulmonary embolus as causes in this patient's course and they may likely provide most reasonable etiology.
Patient had no spontaneous respirations, heart sounds, response to any stimulus including noxious stimuli. Patient's pupil were fixed and dilated at 8mm and with no response to light, no corneal reflexes, no gag reflex, and no oculocephalic reflex. Patient was pronounced at __________. Patient's family was contacted and did not desire autopsy, chaplain services were offered, and funeral arrangements were discussed.
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