by that angle that is reasonable to question what the husband did. Since pregnancy is usually a factor in effective CPR if the husband is claiming he successfully resuscitated her ( which is unprovable without monitoring) then either he is simply mistaken and she never was in cardiac arrest, but severely hypotensive ( which I think is the issue) or he is not telling the full truth ( kind of unlikely for me, but one never knows)
I have seen plenty cardiac arrests and the ones secondary to PE are usually not able to resuscitate unless a patient is basically already in the OR.
I've NEVER seen a successful post-PE resuscitation; and like you...I've seen plenty of them. 2 of the 3 services I worked for, were in very rural areas-where 20-minute response times were not uncommon. First responders in those situations, were rare at best.
I agree with that. The only theoretically possible way to resuscitate such a patient is to immediately go on bypass and cut the clot off. PE is not always causing cardiac arrest, but if it is - that's it.
In this case I think it might have been massive but not caused arrest, but severe prolonged hypotension.
I don't think so, but my objection is mostly not on when the brain activity appears but on the possibility of reliable detection - it is not possible by nowadays technology and invasive monitoring is too dangerous. not even talking about detection of any abnormality.
My stepfather was born with Tetralogy of Fallot, underwent three procedures by age 6, and wasn't expected to live past 20. Mom got pregnant, in 1989; and because of SF's history, the pregnancy was considered high-risk, from the beginning. They were told, in 1989, that ToF could be diagnosed and repaired, in utero. Sadly, she miscarried near the end of the 1st trimester.
"Normal CPR." I didn't catch that. Using the word "normal" in healthcare in any setting, is like playing Russian Roulette. But I would assume that "normal CPR" would be the standards set by the AHA.; and I don't recall a different compression depth during pregnancy, in ACLS, AMLS, PHTLS- but if feel free to correct me if I'm wrong.
I am not talking about resuscitating technique. it is the ratio of the flow in the placenta and cerebrum of the fetus measured in the study from your link. The mention that they compared the figures gathered from the 13 pregnant women who were carrying the babies with inborn heart anomalies and compared them to normal ones, but I could not find what "normal" means.
I've actually seen ABNORMAL CPR and unorthodox resuscitation efforts-like throwing a pail of water, on an unconscious patient...in an attempt to rouse him. Heard this rationale TWICE, in my EMS career.
Oh, if the walls of ambulances and hospitals could talk.