Examination
Current condition: A 65-year-old man collapsed in the bathroom; telephone-assisted urgent resuscitation lasted for 10 minutes, with an initial rhythm of PEA. ALS was continued, and 3 mg of norepinephrine was administered according to protocol, with ROSC achieved after another 10 minutes. The patient was intubated and transported on artificial lung ventilation with circulation stabilized on a moderate dose of norepinephrine.
A — OTI 8.0, fixation on 23 cm
B — symmetrical, bilateral vesicular, ventilation mode: VCV, Vt 600 ml, 14/min., PEEP 6 cmH20, FiO2 0.7, EtCO2 2,7
C — capillary refill time prolonged 5 s, norepinephrine 0.3 mcg/kg/min
D — GCS 1-1-1, pupillary response 2/2, photoreaction absent, analgosedation fentanyl+midazolam from EMT
E — 2x IV cannulation on upper right extremity, calf edema — lower right extremity, increased jugular vein distention