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 ROSC after [## minutes] of resuscitation in the
ED. We initiated post-resuscitative care
in the ED as noted above. A 12-lead EKG
was obtained [and noted to be unremarkable/noted to have evidence of STEMI and
the patient was transferred to the cardiac catheterization lab]. We discussed the case with Dr. [NAME] of the
ICU with plan for admission of the patient for further management. We discussed planned admission with the
patient’s [wife/husband/family] who agreed with planned admission.
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