The patient was discharged from the ED around 9:50pm. She went back to the home where she was staying.
The following morning, she woke up and was in the kitchen making coffee. She suddenly collapsed in front of her family and was unresponsive with no pulse.
EMS was called. On arrival she was found to be in V fib cardiac arrest. She was defibrillated multiple times. She was intubated and taken back to the same ED from which she had been discharged.
After arriving at 7:14am, the patient was immediately switched to the ED equipment. The patient’s first shock and subsequent rhythm in the ED was shown below, recorded at 7:17am. She was shocked again following this strip, and had return of spontaneous circulation (ROSC).
The nurse report documents the code minute-by-minute, from arrival to final disposition. Text interpretation is show below, with slight rearrangement to place all events in chronological order.
The patient was shocked multiple times in the ED as her cardiac rhythm changed. A rhythm strip from later in the code (8:35am) after ROSC was obtained, and is shown below for MedMalReviewer subscribers.
Vitals throughout the patient’s ED course are shown below:
Continue to the next page to see the patient’s labs, CXR interpretation, and physician’s documentation.