The Rational Clinical Examination
David L. Simel, Drummond Rennie
Death
Christopher M. Booth, Robert H. Boone, George Tomlinson, Allan S. Detsky
Clinical Scenarios
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...."
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