Assignment Task:
Chief Complaint: Cardiac Arrest HPI: The 37-year-old female was found on the floor of her bathroom by her husband. She was in full cardiac arrest, and he started CPR immediately. She could have been down as long as 20 minutes prior to him finding her. The EMTs took over CPR when they arrived some 20 minutes later and applied AED. They intubated her with a 7.5 ET-the cords were visualized and taped at 24 cm. Good breath sounds bilaterally after intubation. The EMTs administered 1 mg EPI and 1 mg Atropine-no response and ECG was still in asystole. Physical Exam upon Arrival: The patient was unconscious and apneic and pulseless. Skin: Purple from just above the clavicle and skin was cool and dry. HEENT: Pupils fixed and dilated. Neck: No JVD or trachea deviation. Chest: clear and equal bilateral sounds with intubation. Abdomen: Distended and tight. Extremities: Flaccid and cool. Emergency Physician's Note: This 37 y/o white female arrived by ambulance in full arrest. Epi and bicarb were given on the way to the hospital. Two leads showed agonal asystole rhythm. A high dose of epi 5 mg was given IV and shock with 360 joules × 2-no response. A total of 4 amp of bicarb and 4 high dose epi given with intervening defib at 360 joules. No response. Her pupils were fixed and dilated on arrival-has full neck and chest venous stasis. The endo tube was aerating both lungs. Blood gases revealed: Enter the Evaluation and Management code(s) for case. Need Assignment Help?