MDM - Cardiac Arrest - Pronounced

[##-year-old male/female] presented in cardiac arrest with unsuccessful resuscitation and pronouncement in the ED.

Patient presented via [private vehicle/ambulance] and was noted to be [in peri-arrest with rapid loss of cardiac activity/pulseless, apneic and unresponsive] with an initial rhythm assessment showing [pulseless electrical activity/asystole/ventricular tachycardia/fibrillation].  CPR initiated as noted above with patient receiving [## doses of Epinephrine/## doses of Amiodarone/## doses of Atropine/and defibrillated ### times].  We considered alternate causes for cardiac arrest to include hypoxia, hypovolemia, hypothermia, hyperkalemia, acidosis, tension pneumothorax, tamponade, and various etiologies of overdose, and addressed these etiologies with [respiratory support and intubation/IV fluid bolus/passive warming of the patient/## doses of Sodium Bicarbonate/needle decompression/etc.].  A bedside ultrasound was performed with [evidence of uncoordinated cardiac activity/absence of cardiac wall motion and no evidence of pericardial effusion].  Patient was reported to have had a [## minute] down time with [unwitnessed/witnessed] arrest.  Patient noted to be have gone from [initial rhythm] to [additional rhythms] during resuscitation that lasted [## minutes].

Patient noted to have persistent [asystole/pulseless electrical activity] despite [## minutes] of resuscitation in the ED.  Even after consideration and attempted treatment of reversible causes, we were unable to convert the patient into a perfusing rhythm.  The patient was pronounced in the ED at [TIME] with family [notified/at the bedside].  We [offered/consulted a Chaplain/Social Worker] for the family, and arranged for appropriate care of the deceased patient and transfer to the morgue.