now, before I begin: we cannot yet say if Mr. Hamlin will recover. He has a long and difficult road ahead.
But what is medicine without hope?
As an ER doc, I couldn't do my job without it.... so let's learn from these survivors:
3/15
1. FABRICE MUAMBA - 2012
A soccer player in the UK, Mr. Muamba collapsed at age 23, during a game. It was observed that he "fell like a tree trunk. He didn't put his arms out to break his fall, or anything, he just dropped."
Cardiac arrest. People sprung into action....
4/15
ambulance crews performed CPR and attached a defibrillator.
Mr. Muama was in a "shockable rhythm" known as ventricular fibrillation. He was shocked FIFTEEN TIMES and received CPR for 78 MINUTES.
think about it: "dead" for over an hour.
things were ominous....
5/15
he was taken to the hospital, where they managed to restart his heart. And.... slowly.... over days....
he regained consciousness, and was eventually discharged from the hospital.
in my first thread earlier tonight, I briefly explained CPR.
When CPR is successful, and heart function is restored, patients require specialized ICU care to support organ and brain recovery - this is known as POST-ARREST CARE.
It is slow and careful work.
3/8
One of the keys to post-arrest care is TARGETED TEMPERATURE MANAGEMENT (TTM) - the use of technologies to avoid fever and precisely control body (and hopefully brain) temperature.
It can look like this - cooling pads hooked up to a coolant machine:
1,000s of pregnant women each year in the US are diagnosed w cancer. These include breast ca, rectal ca, melanoma.
Treatment may require radiation, chemotherapy. But here's the problem....
radiation & chemo can cause great fetal harm in up to 15%-20% cases
what to do?
(3/8)
imagine: you're a pregnant women, excited to have your 1st child. You receive terrible cancer news. And you are told that you need chemo NOW - or you risk the cancer spreading.
But you are told chemo has a big chance of harming the fetus.
(2/11)
Ectopic pregnancies, sometimes called "tubal pregnancies" are when the fetus is growing in the wrong place.
A fetus should take root in the uterus, where it can grow safely. If it gets stuck elsewhere, that's an ectopic.
It's super common - 1 in 50 pregnancies!
(3/11)
many women have no idea that their pregnancy is ectopic.
One day, they have abdominal pain and/or vaginal bleeding, and they go to the ER - and an ultrasound confirms it. It's a serious emergency that ER providers see ALL THE TIME.