Home Paramedicine Train Wreck, The Follow Up

Train Wreck, The Follow Up

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The patient survived and is doing, well, I guess OK. He had another infarction, which we knew, had another stent placed, and is conscious. His heart suffered major damage, for the medical folks his Ejection Fraction is 25%. For the non medical folks, the normal EF is anywhere from 50-70% or so depending on whose study you want to adhere to.

Not the best quality images, but I did them with my cell phone not a scanner. If you click on them they enlarge and become easier to see.

 

 

 

 

 

 

 

This is what we saw when we attached the ECG leads and turned the monitor on.

 

 

 

 

 

 

After six defibrillations we finally got a perfusing rhythm with a blood pressure. By this point the patient was sedated and intubated.

 

 

 

 

The 12 Lead ECG tells the story. If you’re not one of my medical readers I’ll just say that this is NOT the ECG you want to have. The patient has a long road to go for recovery.

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I'm a retired paramedic who formerly worked in a largish city in the Northeast corner of the U.S. In my post EMS life I provide Quality Improvement instruction and consulting under contract. I haven't really retired, I just don't work nights, holidays, or weekends.  I escaped the Northeast a couple of years ago and now live in Texas.  I'm more than just a little opinionated, but that comes with having been around the block more than once. You can email me at EMSArtifact@gmail.com After living most of my life (so far) in the northeast my lovely wife and I have moved to central Texas because we weren't comfortable in the northeast any longer. Life is full of twists and turns.

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