Doctor insights on:
Cardiac Arrest Induced Coma
With the cardiac arrest and even with immediate CPR and defibrillation, hypoxia brain injury can occur so the induced coma is to, try to reduce he damage and allow recovery.
But sometimes the brain activity will cause seizures
status epilepticus - persistent unresponsive to meds sometimes. ...Read more
Cardiac arrest: When you have cardiac arrest you are dead. Induced coma is done only when you are alive. As such it isn't a treatment for cardiac arrest. If a patient happens to be resuscitated from cardiac arrest, inducing coma can be a consideration to hope the brain will recover with less metabolic demand on it. It isn't done regularly. We are considering if cooling post arrest survival is as useful as thought ...Read more
What is the average time a patient, who is in coma due to a cardiac arrest for 15-25 mins, will take to show signs of improvement?
Poor prognosis: If they had no spontaneous circulation requiring CPR for >15 minutes, the prognosis is very poor. There may be irreversible brain injury. The prognosis is not determined by the timing, however. It's determined by their condition. If there's no brainstem activity, there will likely be no recovery. IF they have higher cortical activity, recovery is likely, will be slow, and may be incomplete. ...Read more
Freaking out! ER doc gave me 100mg tramadol and I read side effects. Would this cause bad effects like cardiac arrest/coma/seizure from that dose?
They must list every possible even when rare!
rare even with large doses over long time. ...Read more
I was in a medically induced coma for 2 to weeks. What could be the extense of the damage? I feel out of fucus and hyperactive.
Limited: One needs full details to be sure, but the pattern is gloomy. ...Read more
Is a calf a cow? If you are making veal parm? Cardiac arrest is the loss of pumping ability of the heart. That is measured as cardiac output (units l/min). In cardiac arrest it is 0.
Asystole is usually used to refer to the lack of electrical activity in the heart. If the electrical system could be measured, it would be measured in amps (current or electrons /sec). In asystole that is 0. ...Read more
Yes: It is technically called asystole and means that there is no electrical activity in the heart. A cardiac arrest can also occur without flatlining-called PEA-pulseless electrical activity. There is activity seen on EKG or monitor, but no pumping activity, usually fatal. ...Read more
Depends: If you go into cardiac arrest, after about 10 seconds you will pass out, lights out. If the cardiac contraction and rythm do not resume spontaneously you will be brain dead within 5 minutes. So after 10 seconds if you do not get rescued, you will never know if you went into cardiac arrest. ...Read more
Many reasons...: Sometimes there is an unknown congenital heart defect which goes undiagnosed and then results in a sudden cardiac arrest during exercise. Sometimes, an object, like a baseball, hits the chest at just the right time during the cardiac cycle resulting in cardiac arrest. So, there are many reasons for this unfortunate event to occur. ...Read more
Lights out: When BP drops below 60mm/hg, loss of consciousness usually occurs, therefore you may still remain conscious for a few seconds after the heart stops. ...Read more
Yes or No: Your only option is to decide in advance. Either you want to be resuscitated, or you wish have a "do not resuscitate" order/ advanced directive.. ...Read more
Not sure: I am not sure that I understand your question please clarify. ...Read more
Rare yes: Not likely but possible. You need multiple factors. In the young, usually need heart abnormality like unusual anatomy, abnormal arteries, certain valve disease, thickened heart, etc. Short of that, exercising to severe dehydration can lead to vascular collapse and cardiac arrest. ...Read more
I'm not sure I understand your question.
If you mean not driving a car, the concern would be that you might lose consciousness while driving. People who have had problems with fainting or seizures have Imipramine restrictions.
If you mean not using the resuscitation cart, it must be restocked after it is used in an arrest. ...Read more
Cardiac arrest: If you die suddenly you probably have cardiac arrest. You won't know it however. When you have cardiac arrest your blood flow loss means you'll pass out in a few seconds. Should you feel suddenly like you're about to pass out best to call out for help and hope CPR is available. ...Read more
Fainting: If the person has a pulse on the side of his neck and is breathing, (s)he has fainted. ...Read more
Same...sort of: Cardiac arrest means that the heart muscle has stopped beating. It can be from asystole, which means that there is no spontaneous rhythm at all, or other causes. But, in the end, cardiac arrest means the heart stop beating. ...Read more
Long list: Sudden cardiac death had several causes: Coronary disease or heart attack may cause sudden cardiac death, but also sudden death can occur in patients with cardiac abnormality of the heart muscle that can be detected on echo cardiogram and sometime undetected on cardiac echo, electrical genetic anomaly may cause sudden death ...Read more
But usually for different etiologies (causes).
Most children and infants will have a cardiac arrest if they do not get enough air (oxygen) and this will cause the heart rate to decrease to a point where the heart can stop (systole) or go into an abnormal rhythm. Also cardiac defects or anatomic abnormalities from birth can do this too. The best treatment is CPR and call 911. ...Read more
Bad situation: Depends why one is on the ventilator and what caused the arrest. 1st thing is start CPR and follow acls (advanced cardiac life support). One the patient has a good pulse and good heat rhythm then deterine the cause of the arrest. ...Read more