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Can asthma attack cause cardiac arrest - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 536 Questions
User :   My parner suffered an asthma attack. i called an ambulance and joe was stiil concious and sanding when the paramedics arrived. he then collapsed and had a cardiac arrest while in my arms. i watched the colour drain from him and knew he was dead. they did not peform cpr in the house but took him to the ambulance. this took approx 8 mins due to them struggling to get him up and then into the wheelchair. when i got to A&E iwas told he was dead when he got to the ambulance. his heart stopped another 3 times in A&E but they brought him back. he was placed on a ventilator, put in a coma and had his temperature lowered to protect his brain. They begun tto warm him up and started to bring him out of the coma 24 hrs later. his responses were good coughing, biting on tubes, moving his legs, trying to open his eyes. 24 hours later i was told his pupils were dialated and his brain was swelling. life support was switched off. nothing could be done. my question is was the brain damage caused by cpr not being peformed soon enough? is there anything that could have been done? a ct scan was not done until his pupils were dilated and by then they said the left side of his brain had died.
Doctor :   Hi,
User :   Hi can you give me any answers?
Doctor :   Let me read the query for some time
Doctor :   The initial assessment and management should have been started before or as soon as getting him in the ambulance
Doctor :   early CPR would have been of very much help
Doctor :   the indication of the CT scan could be determined much before
Doctor :   i mean not to wait until he pupils are dilated
Doctor :   as there are many signs which can indicate a impending or occuring Brain death
User :   if they had done cpr in the house would this have prevented brain damage. could they have stopped the brain swelling if they had done ct scan and known i was swelling
Doctor :   yes, but an initial assessment of the heart functioning was a must
Doctor :   and if the heart was feeble or stopped , then CPR was a life saving procedure specially early
User :   His heart was beating perfectly and on its own 2 hrs after getting to A&E. he was also breathing on his own. his cause of death was hypoxic brain injury, could this have been prevented.
Doctor :   i he heat is beating atleast with 30 to 40 beats then its a contraindication for CPR
Doctor :   if the*
Doctor :   heart*
Doctor :   if the early assessment done before or soon after getting into the ambulance showed the heart having rate at minimum 30 to 40 , then CPR was of no use then
User :   originally they were placing in a hyperthermic state for 72 hours to protect his brain. this was changed to 24 hrs. would 72 hours make a difference
Doctor :   yes, it does make difference
User :   what difference
Doctor :   the damage would b unopposed if lessend the time
User :   dont understand
User :   should things have been done differently
Doctor :   i meant they should have fixed to the plan
Doctor :   they would have elicited signs which would have not been promising
User :   can brain swelling be stopped or does it have to stop on its own
Doctor :   depends on the speed of damage and also the cause of he same
User :   where right procedures followed or should other things have been done
Doctor :   i would consider t would be better if follwed the plan
User :   can people recover from hypoxic brain injury
Doctor :   and also the improvement signs where shown an time during the treament will compell no to deviate from the plan
Doctor :   yes, ppl do recover
User :   so they should have left him for 72 hours
Doctor :   also the recovery depends on the faster involment
Doctor :   yes,
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