movment of the chest after ALS CPR without pulse

E

EMT PR

Forum Ride Along
Messages
7
Reaction score
0
Points
0
hello evrey one-
last week we came to 75 yaers old women (with a Varied medical history) that Collapsed at home 15 min' before we came.

she was Lying on the floor, skin- regular color, not cold.
not responsive, no breathing,
idio ventricular rhythm.

after +- 30 min' of full ALS CPR Spontaneous carotid pulse has back for less then a minute.
and after another 20 min' of full cpr-
The patient had shown SPONTANEOUS MOVMENT OF THE CHEST WITHOUT PULSE OR CRADIAC SOUNDS (no specific rhythm)

Has anyone seen this phenomenon before?

I didn't find any Relevant information during searching in data bases.

p.s- after another 15-20 min' of full cpr-Death Announced by a doctor

p.s2) sorry for my english- it's not my native Language

thenk you all- anyway
EMT PR
 
Agonal respirations are common in pulseless patients. Just the brain's "last dying gasp".
 
alien_xl_05.jpg
 
it wasn't Agonal respirations

Belive me she wasn't breathing at all,
As I wrote- the chest start moving only after kong minets of full ALS CPR
And the chest moved only at her left side (like pulse- just it wasn't...) and that's exactly the bizarre part... (and acording to the monitor, hand felling and my Stethoscope she was pulseless)
 
Agonal breathing with unilateral pneumothorax or rib fx from CPR.

Agonal breathing is usually without benefit of palpable pulse and does not have to be effective, like chicken's legs kicking after it has been beheaded.
 
it wasn't Agonal breathing

Belive me- only the left part of the chest moved....
I know how Agonal breathing look.... and I can swear it wasn't...
 
I'm thinking dislocated ribs recoiling or muscle spasms (tetanic, or something like it).
 
They worked a 75 year old woman for almost an hour? Thank god you didn't get her back at the end.
 
Heres a live clip of an actual resus done by lifeguards.

It shows a good example of agonal resps.

[YOUTUBE]ICODRFoWZkw[/YOUTUBE]

Note this is like 5 years old, so the CPR compression ratio was different.

Apparently this guy had a congenital heart defect causing him to go into VF or VT while swimming
 
You must log in or register to reply here.
Back
Top