Saturday night went pretty quitely, surpisingly so. Around 1:30 we get a call for a 78y/o male with heart trouble. We get there, and he tells us he has an implanted defib, and it shocked him and woke him up. We go ahead and get him loaded up and on the monitor, get IV access, and he's got a normal sinus, nothing notable. He had just taken a nitro, so we give him 4 baby asprin, and head out to the hospital. My partner rode, and I drove.
We get to the hospital, and I go around back and open the doors. Guy is sitting there, smile on his face and talking. I look at my partner, and his eyes are a little big and he keeps looking at the monitor and back at me. I lean around and look and he's in Vtach around 180 a minute...lol. Great. Guy doesn't even know he's in a lethal rythem. I give my partner the "lets get going inside NOW look" and start to pull the guy out...Next thing I know..He jolts, and screams. The defib works aparently! Scared the crap out of me. We get him inside and start to move him over, and his eyes roll back and he starts to code...We get him over, defib again, guy screams, and sits up and tells us thanks for the ride...The thing shocked him 10 times at least. That's the first ime in a long time I've seen V-tach with a pulse and a completely lucid PT.
Doc looks at him and goes, "damn dude, you just scared the **** out of me." I couldn't help but laugh. He was going from a-fib to v-tach to trigemeny and back again. Shoulda kept a strip from that guy. Something really funny about someone on the edge of dying, and in between shocks from his internal defib he's trying to say thank you to us.
Overall, just a wierd situation, but after a bunch of rounds of depressors, his rythem finally came back to normal.
Oh well...another day tomorrow..
We get to the hospital, and I go around back and open the doors. Guy is sitting there, smile on his face and talking. I look at my partner, and his eyes are a little big and he keeps looking at the monitor and back at me. I lean around and look and he's in Vtach around 180 a minute...lol. Great. Guy doesn't even know he's in a lethal rythem. I give my partner the "lets get going inside NOW look" and start to pull the guy out...Next thing I know..He jolts, and screams. The defib works aparently! Scared the crap out of me. We get him inside and start to move him over, and his eyes roll back and he starts to code...We get him over, defib again, guy screams, and sits up and tells us thanks for the ride...The thing shocked him 10 times at least. That's the first ime in a long time I've seen V-tach with a pulse and a completely lucid PT.
Doc looks at him and goes, "damn dude, you just scared the **** out of me." I couldn't help but laugh. He was going from a-fib to v-tach to trigemeny and back again. Shoulda kept a strip from that guy. Something really funny about someone on the edge of dying, and in between shocks from his internal defib he's trying to say thank you to us.
Overall, just a wierd situation, but after a bunch of rounds of depressors, his rythem finally came back to normal.
Oh well...another day tomorrow..
