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Showing posts from October, 2005

Getting Away With Murder

Okay, this is wierd. We had an elderly patient in the ICU with this history. The husband who is wheelchair bound heard his wife yell from the kitchen, then he heard a loud crash... then nothing. He knew it was something bad, so he began trying to wheel himself into the kitchen... he's weak enough that this took a great deal of time, greater than 5 minutes. By the time he got there, he saw his beloved wife laying across the ground with her shirt pulled up in front... her hands and face appeared blueish, and she felt cold to his touch. Strewn about the floor were the usual things they keep on their counter. The despirate man attempted CPR for several minutes, but knew if he didn't get EMSA there it would be of no use. He called 911. By the time EMSA arrived it had been at least 15 minutes that she had been down. EMSA got her heart beat back, and intubated her and were breathing for her. She ended up spending three days in the ICU... she was brain dead. Her heart was strong and s

21 grams

They say a man's body decreases in mass by 21 grams when he dies... "proof" the soul exists... "proof" it departs when he dies. Tonight, I witnessed something new. The soul leaving the body. A man coded on the floor and we were called to respond. ET tube slides down past his vocal cords. CPR resumes. Epi and atropine given, we got him back! Robbing him from the grave, but for a moment in time. Initially, he seemed to have only brainstem reflexes intact. He would not respond. Pupils fixed and dilated. Blood pressure dropped. Dopamine was started. Family, now, gathered 'round the bed. Pressures too low, dopamine was titrated hoping to sustain a pulse. As pressures improved, he began to move. Then, from nowhere... OPENED his eyes! Looking around, but agitated now! moving extremities... thrashing! Panic stricken! Fear in his eyes. He tries to get out of bed... then, suddenly... collapsing back, peace overcoming him. His heart rate dwindled, pressures dropped and