CPR Artefact
Report :
Junctional bradycardia < 30/min
CPR artefact 130/min
Presumptive electro-mechanical dissociation (EMD)
Comment:
The patient had numerous episodes of true pulseless VT and VF. This strip was kept as a representative record. The confusing feature is the sheer speed of the CPR. It so happened that the Registrar was telling the House Staff that the “new” CPR should be as fast as possible and it is was implemented. Nevertheless, there is no mistaking the accelerating march of normal QRS complexes throughout the recording.
The patient did rather well on levosimendan110 infusion, but, despite hæmodynamic improvement, died in intractable asystole.
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