I'm a 2nd year paramedicine student, so my experience is pretty limited. This is in rotation at the emergency department.
32yom patient presented to the ED for abdominal pain, self-medicated with ETOH & acetaminophen. Was put in the waiting area awaiting the next general bed per the triage pattern. Triage technologist witnessed patient arrest, CPR started in seconds, was quickly moved to majors hall. LUCAS was applied v
During compressions, the patient would clench their jaw, curl their wrists, and tense their abdominal muscles – when compressions were stopped, the patient would go back to being entirely flaccid.
In my attempt to intubate, I couldn't open the patients mouth during CPR despite several attempts, and the patient was biting the laryngascope – when CPR was stopped, patient went completely flaccid again – the trauma physician ended up having to use a cric.
Patient did ROSC, had significant ST-Elevation on the post arrest 12 lead, arrested again. He was brought to PCI during the 2nd arrest, ROSC'd prior to catheterization, and they did their thing successfully, placed a stent.
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