Ultrasound for Critical Care Physicians: Sometimes It’s Better to Be Lucky than Smart

R. Raschke, Randy Weisman
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Abstract

We recently responded to a code arrest alert in the rehabilitation ward of our hospital. The patient was a 47-year-old man who experienced nausea and diaphoresis during physical therapy. Shortly after the therapists helped him sit down in bed, he became unconsciousness and pulseless. The initial code rhythm was a narrow-complex pulseless electrical activity (PEA). He was intubated, received three rounds of epinephrine during approximately 10 minutes of ACLS/CPR before return of spontaneous circulation (ROSC), and was subsequently transferred to the ICU.
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重症监护医生的超声:有时幸运比聪明好
我们最近在医院的康复病房对代码逮捕警报做出了回应。患者是一名47岁的男性,在物理治疗过程中出现恶心和发汗。治疗师帮他在床上坐下后不久,他就失去了知觉,没有脉搏了。最初的编码节律是一种狭窄复杂的无脉冲电活动(PEA)。在恢复自主循环(ROSC)之前,他接受了插管,在大约10分钟的ACLS/CPR期间接受了三轮肾上腺素治疗,随后被转移到ICU。
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