11:49| "A 35-Year-Old Man with Cardiac Arrest while Sleeping" This CASE RECORD OF THE MASSACHUSETTS GENERAL HOSPITAL describes a 35-year-old man who screamed during sleep and became unresponsive, with agonal breathing and a bluish skin color.His partner performed mouth-to-mouth "rescue" breathing, but not chest compressions.
Technicians from emergency medical services found him in ventricular fibrillation; normal rhythm was restored, but the patient did not regain consciousness. In the emergency department an EKG revealed ST-segment elevation, and there was evidence of pseudoephedrine in the serum. The results of cardiac catheterization were normal.
Keith Marill discusses the issues raised by this case including the management of out-of-hospital cardiac arrest due to ventricular fibrillation both at the scene and in the emergency department. Marill also discusses the differential diagnosis of cardiac arrest in a young patient.
Further Reading
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