#because when we switched back to manual compressions around min 20 we started getting monomorphic VT and a shockable rhythm | Explore Tumblr posts and blogs

doctorweebmd · 6 months ago

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very nice people in comments/bookmarks responding to me being insane in the author's comments of my fics: i hope op is doing well UwU

op: <3 hours of sleep, refreshing the EHR to see if the guy she coded for 30 minutes last night is still alive, just ate half a pint of icecream, going back to work in 4 hours and somehow still writhing in guilt for not putting out a fanfic chapter in >1 month

#he did live. i'm. very surprised #i think the issue is that that automatic CPR device kept sliding to his right so we were not getting adequate cardiac contact #because when we switched back to manual compressions around min 20 we started getting monomorphic VT and a shockable rhythm #got pulses back pretty soon after. and he's relatively neurologically intact.#it was a little weird because he is a cardiogenic shock pt who has no further treatment options and i was literally about to call it #i'm just curious because i think it was a cardiac event. of some sort. in-stent thrombosis maybe? but he's already s/p PCIx3 #he had a PE earlier in the hospitalization but it was teeny tiny and his RV looked ok-ish on echo #certainly not bad enough to be in 4-pressor shock #maybe just good old VF/VT due to severe heart failure and myocardial injury resulting in ischemia to the electrical system #anna you might say #you literally complain EVERY TIME you're on night shift.#you know you're like... voluntarily doing this to yourself right?#....... :(#what is my life if not constant self-flagellation?#ok i'm gonna go lay down will keep you updated with what the dude's cath shows

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