12 lead captured during pulse check shows a PEA rthym. OPA in place and CPR started immediately. Pt States Breathing is WORSE on Cpap and Cannot tolerate and removes mask and placed back on NRB.Īpprox 10 mins out Pt codes, ACLS Protocols followed to best of my abilities with 2 rounds epi given. Nitro is still withheld due to Pt anxiety / non-compliance. Pt is foaming at mouth and nose after being on CPAP and Suctioned as necessary. Pt is placed on CPAP With little to No improvement in symptoms.
SP02 Worsing to 80's and Resp Rate 30's with Now bilateral Rhonci / Rales.
Serial 12 leads show Evolving Stemi tombstoning and Deep ST depression almost globally.Also begins to show Widespread interventricular Conduction Defects / delays and a widening QRS.Īfter approx 900ML Pt develops increasing shortness of breath on NRB and Becomes tachy, BP now 111/ 78, States cannot catch breath.Extremely anxious. Placed flat with legs elevated, NRB 15LPM. Pt Develops near syncopal episode with Drop in BP to 50/20, Brady to 50's and Drop in SP02 to 80's. No pain meds given as contraindicated by Hypotension. Pt unable to be flown out and stemi Facility 80 Mins by ground.Įnroute Dual large bore IV's started with liter of NS hung Bolus with lungs re-assesed every 250ml and remain clear.324 ASA given PO, Nitro Withheld due to Hypotension. Denies any medical history, Meds or allergies, Drug or etoh use / abuse.
Pt symptomatic with Dizziness, weakness and shortness of breath.ĭenies nausea, vomiting abdominal, back pain. Skins Extremely pale, Limbs cold to touch and developing diaphoresis. Pt initially Satting about 94% RA, Chest pain 4/10, constant, non-radiating, substernal. Initial BP is 80 over 40 systolic and 12 lead comes back with ST elevations in V1 & V2 with recripocral changes and Septal infarct confirmed by ER physician over phone consult. 67yo M, A&0X4 GCS15 presents with Syncopal episode and Pinkish blood stain On pillow with 911 called by family.