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Spot the diagnosis watch

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    A much more tongue in cheek - spot the diagnosis - but one virtually all medics will encounter.

    You are on night duty. It is 0400 and the cardiac arrest bleep goes for one of the general medical wards. On arrival, the nurses report they have found this patient unresponsive in bed. On immediate assessment, they are not breathing and have no pulse. They are cold, stiff and a pale colour.

    What is the diagnosis?
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    Stiff = rigor mortis, pale colour = no oxygenation, no pulse = heart not beating, not breathing = brain dead.

    Dead patient?
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    (Original post by darkenergy)
    Stiff = rigor mortis, pale colour = no oxygenation, no pulse = heart not beating, not breathing = brain dead.

    Dead patient?
    I wasn't expecting such a detailed analysis, but the conclusion is correct.
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    (Original post by Ataloss)
    I wasn't expecting such a detailed analysis, but the conclusion is correct.
    err, I was joking....
















    really, did I get that? :eek: If yes I deserve a rep.
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    Is it too late to revive the patient after rigor mortis (how long after 'dead' does rigor mortis occur?)
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    LMAO!!! More to the point, what did you do to piss the nurses off?
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    (Original post by darkenergy)
    Is it too late to revive the patient after rigor mortis (how long after 'dead' does rigor mortis occur?)
    Rigor mortis takes a couple of hours, IIRC from my Patricia Cornwell books

    So I think getting the defib out/starting chest compressions (30:2 now kids - Jesus that's weird!) might not be that effective.
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    (Original post by Helenia)
    So I think getting the defib out/starting chest compressions (30:2 now kids - Jesus that's weird!) might not be that effective.
    Not nearly as wierd as ventilating someone who's still breathing or doing compressions on someone with a pulse. :eek:
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    (Original post by Renal)
    Not nearly as wierd as ventilating someone who's still breathing or doing compressions on someone with a pulse. :eek:
    Yes, I found that very strange indeed, but I think I'd be better off raising that with my clinical tutors than with the poor Red Cross instructor who got the pleasure of my company last week.

    30 is v hard to count though, I have to run through my patented (but slightly disrespectful) Nelly the Elephant twice!
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    Clearly, this is for the great unwashed. I would have thought that they would have provided something a little more suitable for those that can spot the difference between dead and nearly dead.

    Come on, if you followed the guidelines to the letter you could start resus on someone snoring.
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    (Original post by Renal)
    Clearly, this is for the great unwashed. I would have thought that they would have provided something a little more suitable for those that can spot the difference between dead and nearly dead.

    Come on, if you followed the guidelines to the letter you could start resus on someone snoring.
    Well, that would certainly deter my Dad from waking the entire house in the middle of the night with his elephantine snores!
 
 
 
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