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Unsuccessful Resuscitation of a COVID ARDS Cardiac Arrest by a Prehospital ALS Team

A brief synopsis of the unsuccessful resuscitation of a COVID Acute Respiratory Distress Syndrome PT by a prehospital ALS team with extended efforts and Double Sequential Defibrillation with EKG's included.

Dialed Medic

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Unsuccessful Resuscitation of a COVID ARDS Cardiac Arrest by a Prehospital ALS Team
Abbreviated case report in long-image format of a 58yo M suffering from ARDS leading to complete respiratory failure and subsequent cardiac arrest. Images include PEA, polymorphic ventricular ectopy, defibrillation and double sequential defibrillation, and finally, termination of efforts.
Call information available to the responding crew, on scene information from family, and airway, breathing, circulation assessment and intervention.
Call information available to the responding crew, on scene information from family, and airway, breathing, circulation assessment and intervention.
EKG #1 showing the pre-arrest period. Sinus rhythm with significant amounts of non-conducting polymorphic ventricular contractions.
EKG #1 showing the pre-arrest period. Sinus rhythm with significant amounts of non-conducting polymorphic ventricular contractions.
Initial vital signs, stabilization, and eventual loss of pulses.
Initial vital signs, stabilization, and eventual loss of pulses.
EKG #2 showing the degredation into PEA with a loss of palpable pulse and drop in EtCO2.
EKG #2 showing the degredation into PEA with a loss of palpable pulse and drop in EtCO2.
Continued resuscitation and maxing out ACLS algorithms.
Continued resuscitation and maxing out ACLS algorithms.
EKG #3 showing biphasic defibrillation #3 with an electrical conversion after.
EKG #3 showing biphasic defibrillation #3 with an electrical conversion after.
Extended arrest care, heroic efforts (double sequential defibrillation), and cessation of resuscitation.
Extended arrest care, heroic efforts (double sequential defibrillation), and cessation of resuscitation.
EKG #4 Showing a double sequential defibrillation (shock #4).
EKG #4 Showing a double sequential defibrillation (shock #4).