The Rational Clinical Examination
David L. Simel, Drummond Rennie
Death
Christopher M. Booth, Robert H. Boone, George Tomlinson, Allan S. Detsky
Sections:
Clinical Scenarios, Why Is the Clinical Examination Important?, Methods, Results, Clinical Scenarios—Resolutions, The Bottom Line, References
Topics Discussed:
cardiac arrest, coma, death
Excerpt:
"A 65-year-old man experienced a witnessed ventricular fibrillation
cardiac arrest at home 24 hours ago. A neighbor had performed cardiopulmonary
resuscitation for 5 minutes until the paramedics arrived and performed
successful defibrillation. His electrocardiogram revealed a large
anterior myocardial infarction, for which he underwent urgent coronary
angioplasty. Although still unresponsive, he withdraws from a painful
stimulus and his pupillary and corneal reflexes are present. The
family asks you about his chance of meaningful recovery...."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $29.95
48 hours for $49.95