CPR alone

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jamonica

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I am a Paramedic student. We were transporting a 72 year old female she was breathing with a very weak pulse. She stopped breathing and went into pulse-less electrical activity not V-tach or V-fib. After one set (2) minutes of CPR she started breathing again. I would appreciate comments
 
Umm. What's the question?

Do you wanna know how CPR brought her back? Without drugs?

Since she still had electrical activity going on in the heart, her issue was the mechanical aspect. Which you took over with CPR and it fixed whatever problem she was having.

What was her history or reason for the call?
 
Uhh... Good job?
 
[YOUTUBE=rjQtzV9IZ0Q]Good Job[/YOUTUBE]
 
jamonica said:
I am a Paramedic student. We were transporting a 72 year old female she was breathing with a very weak pulse. She stopped breathing and went into pulse-less electrical activity not V-tach or V-fib. After one set (2) minutes of CPR she started breathing again. I would appreciate comments
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What was the rate of her pulseless rhythm? Was it a sinus rhythm? You sure she lost a pulse or was it just hard to find because she had a low BP? You really provided us with the very minimum amount of information possible. What do you want comments on? Are you wondering how CPR caused her to start breathing again?
 
Sublime said:
What was the rate of her pulseless rhythm? Was it a sinus rhythm? You sure she lost a pulse or was it just hard to find because she had a low BP? You really provided us with the very minimum amount of information possible. What do you want comments on? Are you wondering how CPR caused her to start breathing again?
Click to expand...

+1

You say she has a weak pulse to begin with but goes into PEA. Obviously possible she is in fact in PEA but if it was a rhythm compatible with life (40s or so +) then I would probably be skeptical.

Its obviously very hard to figure out what you are even asking since you didn't really pose a question but from the information you gave, it sounds like you may have had a cardiogenic shock or something along those lines... You did CPR which aided in bringing her pressure back to a sustainable level.

With more information provided, treating for cardiogenic shock (pressor drip/pacing) may have been appropriate.

Regardless I would probably have started a dopamine drip if we got ROSC in these circumstances.
 
Was it hands-only CPR or with respiratory support? SHe may have gone into respiratory arrest for some reason and you inflated her properly long enough for whatever caused it to pass. Stopping the breathing will stop the heart, or push it into something "random".
Also, was this tactly pulseless, or was she also without an auscable apical pulse?
 
Sounds like a low output situation rather than true PEA.

Seconded on the pressors, what was her BP pre/post "arrest"?
 
I'm a wee bit lost dear, "weak pulse" is not a proper diagnosis; exactly what was wrong with this patient and what were the circumstances surrounding her supposed cardiac arrest?
 
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