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(Detroit Free Press)   Medical examiner, examine thyself   (freep.com) divider line 22
    More: Scary, Oakland County, medical examiners, Dragovic, heart attacks, Detroit Receiving Hospital  
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9401 clicks; posted to Main » on 30 Aug 2012 at 9:20 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



22 Comments   (+0 »)
   
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2012-08-30 09:22:40 PM
This would have never happened to Quincy.
 
2012-08-30 09:24:14 PM
Tampering with evidence... "Hold in contempt" the defense pleads!!!
 
2012-08-30 09:24:38 PM
He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.
 
2012-08-30 09:28:40 PM

BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.


Wasnt breathing and woke up from several defib shocks...

I would say it was
 
2012-08-30 09:29:05 PM

BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.


I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.
 
2012-08-30 09:29:51 PM

Gonad the Ballbarian: Wasnt breathing and woke up from several defib shocks...

I would say it was


davidphogan: BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.

I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.


I missed that part. I really must read more than the first few sentences in an article.
 
2012-08-30 09:35:20 PM

BronyMedic: Gonad the Ballbarian: Wasnt breathing and woke up from several defib shocks...

I would say it was

davidphogan: BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.

I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.

I missed that part. I really must read more than the first few sentences in an article.


Poorly written article is poorly written...
 
2012-08-30 09:35:21 PM
They say the assistant medical examiner helped, but I imagine what really happened is the cops held him back when he tried to start a Y incision on his boss.
 
2012-08-30 09:38:51 PM

buzzcut73: They say the assistant medical examiner helped, but I imagine what really happened is the cops held him back when he tried to start a Y incision on his boss.


aaaaaHAHAHAA!

niiiccee...

When family asks for advice I always tell them that I cannot help until they are dead, and that they get free labor for the autopsy, and their estate just needs to pay for any parts :)
 
2012-08-30 09:51:43 PM
I'm not dead yet!
 
2012-08-30 09:55:06 PM

buzzcut73: They say the assistant medical examiner helped, but I imagine what really happened is the cops held him back when he tried to start a Y incision on his boss.


+1 would lol again
 
2012-08-30 10:03:14 PM
www.cbc.ca
 
2012-08-30 10:05:47 PM

BronyMedic: Gonad the Ballbarian: Wasnt breathing and woke up from several defib shocks...

I would say it was

davidphogan: BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.

I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.

I missed that part. I really must read more than the first few sentences in an article.


He probably was waving his arms because they were continuing to give him shocks for spite.
 
2012-08-30 10:35:26 PM

davidphogan: BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.

I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.


And if it was an AED, he was definitely in some sort of serious arrhythmia. The AED won't shock unless it detects a heart rhythm that is countershockable. You can't just keep pushing the shock button for shiats & giggles.
 
2012-08-30 10:57:18 PM

buzzcut73: They say the assistant medical examiner helped, but I imagine what really happened is the cops held him back when he tried to start a Y incision on his boss.


cdn.hotstocked.com
 
2012-08-30 10:59:15 PM

DarthBart: And if it was an AED, he was definitely in some sort of serious arrhythmia. The AED won't shock unless it detects a heart rhythm that is countershockable. You can't just keep pushing the shock button for shiats & giggles.


Well....there ARE ways of tricking the AED to shock. The algorithm they use to analyze and determine if you're in Pulseless V.Tach or Vfib depends on having as little interference as possible from the patient - meaning no movement. You can actually mimic course v-fib quite well if you have someone with access to a manual monitor. Apply the three lead, put it in lead 2, and have someone shake your chest.

That's why the machine will tell you not to touch the patient when it's analyzing. The newer ones are a bit smarter, and can tell when you're doing this.
 
2012-08-30 11:09:14 PM

Gonad the Ballbarian: BronyMedic: Gonad the Ballbarian: Wasnt breathing and woke up from several defib shocks...

I would say it was

davidphogan: BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.

I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.

I missed that part. I really must read more than the first few sentences in an article.

Poorly written article is poorly written...


Defibrillators don't work on arrest. They work on ventricular fibrillation and other weird heart rhythms. If he was in arrest, they'd need to shock him, not defibrillate him. The kind of AED defibrillators you see in public places can't actually do that.

Also, CPR can be any kind of Cardio/Pulmonary Resuscitation, not just compressions.
 
2012-08-30 11:21:18 PM

alex10294: Gonad the Ballbarian: BronyMedic: Gonad the Ballbarian: Wasnt breathing and woke up from several defib shocks...

I would say it was

davidphogan: BronyMedic: He "woke up" from CPR and started waving his arm at the courtroom?

Yeah...something tells me he wasn't in full arrest to begin with.

I wondered about that as well, but it later says a defibrilator was used too. That made a bit more sense.

I missed that part. I really must read more than the first few sentences in an article.

Poorly written article is poorly written...

Defibrillators don't work on arrest. They work on ventricular fibrillation and other weird heart rhythms. If he was in arrest, they'd need to shock him, not defibrillate him. The kind of AED defibrillators you see in public places can't actually do that.

Also, CPR can be any kind of Cardio/Pulmonary Resuscitation, not just compressions.


You realize that "Cardiac Arrest" includes any form of impaired blood flow to the heart. Not necessarily a complete "stoppage" of the heart.
 
2012-08-30 11:28:26 PM
upload.wikimedia.org
 
2012-08-30 11:29:16 PM
i1259.photobucket.com

Can Sympathize
 
2012-08-31 12:00:22 AM

Gonad the Ballbarian: You realize that "Cardiac Arrest" includes any form of impaired blood flow to the heart. Not necessarily a complete "stoppage" of the heart.


Pulseless ventricular tachycardia is considered a "cardiac arrest", even though there is electromechanical activity to the myocardium, because the ventricles are beating so fast they can neither fill or empty with sufficient volume to perfuse the body and brain. You can actually have a wide complex tachycardia (V-tach) with a pulse. It's not a healthy condition to stay in, however defibrillation in that case isn't the answer. You actually have to either deliver a shock at precisely the right point in the depolarization/repolarization phases to treat it, known a synchronized cardioversion. The energy used is also lot less. (about 1/4 to 1/2 that of defibrillation). If they're stable, ACLS recommends you actually treat with an antiarrhtymic infusion, either Lidocaine or Amioderone.

V-Fib, or Ventricular Fibrillation, is considered a "cardiac arrest" because even though the heart muscle is beating, it's vastly uncoordinated and ineffective. It's been described as a "bag of worms" in appearance. V-Fib commonly results from ischemia (lack of blood flow) to the heart, where the myocardium becomes irritable and easily stimulated, and a premature beat occurs which disrupts the repolarization phase (Known as R-On-T syndrome for the electrical pattern on an EKG), but can result also from electrolyte disturbances, blunt trauma, genetic defects like long QT syndrome, and heart damage.

There are other cardiac arrest rhythms where the answer is not edison medicine, but finding and treating the underlying cause - like Electromechanical Disassociation/PEA, asystole, atrial fibrillation with rapid ventricular response, and some exotic conduction defects.
 
2012-08-31 01:52:50 AM
If he needed "several applications of the defibrilator", he's not going to be back at his job for some time.
 
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