MEDEST

47 ysr old male collapsed on the field. First ALS unit found him arrested in VF.

Shocked 3 times he regained a palpable central pulse.

When we arrived the patient arrested again. VF on the monitor. Shocked 4 times. Mechanical chest compression and tracheal intubation on board. He received Epi, Amio (300+150), Calcium Gluconate and Bicarb (suspected iper K in kidney insufficiency) before the ROSC.

15 minutes passed from the collapse to ROSC, 7 of wich were of “no flow” (no chest compressions, no AED from bystanders).

PMH: Hypertension, kidney insufficiency, heavy smokers. Medication history unknown.

He had chest pain before collapsing, as referred from bystanders.

Vitals at ROSC: GCS 3 T, RR 10 MV, SaO2 100%, EtCO2 35, HR 70 bpm. NIBP 100/70 12 lead EKG at ROSC is shown below

An echo of the heart performed on the field (in the ambulance running to the ED, so I…