Asysin2leads Posted September 7, 2011 Posted September 7, 2011 BoCat, It sounds like you performed in an exemplary fashion for your first lone cardiac arrest. When it comes to diagnostics, if something doesn't fit, sometimes its best just to throw it out. If this patient hadn't been stung by a wasp, and you found him as presented, it would be a pretty clear case of cardiogenic shock secondary to bradycardia. If as the previous posters have mentioned, there were no signs of anaphylaxis, then the wasp sting probably has little or nothing to do with the case. A 55 year old overweight male going into cardiac arrest is almost without a doubt suffering a cardiac event. I wouldn't be surprised if on autopsy it would show a significant occlusion of the right coronary artery which let to infarction of the sinoatrial node. In other words he had a heart attack and died. It happens. A lot. Especially to overweight 55 year old males. You did fine.
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