A controlled cardiac arrest is a medical procedure where a patient's heart is intentionally stopped under controlled conditions, with the doctor explaining that there is a 50/50 chance of the patient dying during the procedure, and the patient must sign consent forms acknowledging the risks before the procedure begins.
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Alfie’s controlled Cardiac ArrestHinzugefügt:
So an um how have you been since the last visits?
>> A lot better to be honest.
>> Good. Any pains? Any things like that?
>> It's all gone to be fair since uh medication that you gave me.
>> Yeah. So I know we had the discussion about controlled heart attack and that.
>> Yeah. Do you still want go ahead with that or hold fire on that for a bit longer?
>> I think go ahead with that if that's all.
>> Yeah. Um so I will just do all your observations and that >> then we can get it started.
So reason for the visit it's your heart in your heart problems.
>> Same as last time.
Uh sports you play was boxing and hockey [clears throat] also with marathons.
>> Yeah.
>> Um pain scores were last time nine out of 10 then six out of 10.
>> Yeah.
>> And then before then it were the same as last time I saw you.
Um so have you do you smoke?
I've stopped smoking cigarettes. I I've vape now.
>> Right. That's good. And what about you drinking?
>> Yeah. Stop drinking as well.
>> Right. That's good. So, what we start with is well, you just said your pain score is not out of 10.
So we do your oxygen levels, then your blood pressure, and then we do the next action.
>> Next action that That seems fine.
Blood pressure.
Attention please. Please keep silent. Relax. Keep the cal at heart level.
Thank you. Your blood pressure is systolic pressure 2 mm of mercur diastolic pressure 73 mm of mercur.
Your pose is 58 beats per minute.
Measuring result is normal.
>> That's good.
That all seems fantastic.
Good. Good.
I just do your temperature check then we're going to discuss your next steps.
36.6.
That's good.
So, we've um discussed the outcome, what the control heart attack could involve in that. Um if the worst comes to worse, we won't try and revive you.
>> Yeah. Um hopefully it doesn't and that um it will be done twice.
>> Yeah.
>> If that's all right with you. Um and then after that what we get you to do is just get you sort of relax, get it back to normal and that. Um then we do another test where we get doing some exercises and that >> um test it. So I have got a form here for you to read through.
>> Um and when you've read through it, you can sign it.
Thank you.
>> What's the date?
fourth on the fifth.
Do I need to do all that part of it?
So that is all good and that Um so you ready get started.
>> So the first one will be wait for later.
>> Yeah.
>> But first I will listen to your heart and see if it's up for it.
Then if I think it is we do it then we see how you can That all sounds good to me. So, what I do is I attach the def pads on you.
>> Yeah. Top off or >> um you can take it off if you want.
So what I do is one was that analyzing heart rhythm.
>> Do [clears throat] not touch the patient.
Shock advised.
Charging.
Stay clear of the patient.
Deliver. Shock delivered.
Start CPR.
a shock.
>> Yeah.
>> Analyzing heart rhythm.
>> Do not touch the patient.
>> Shock advised.
Charging.
Stay clear of the patient.
Deliver shock. Shock delivered.
Start CPR.
analyzing heart rhythm.
>> Do not touch the patient.
Shock advised.
Charging.
Stay clear of the patient.
Deliver shock delivered.
Start CPR.
Right. It is slowing down.
Um, it is. Yeah. Um, what I want to do is I want to completely stop it completely.
>> Yeah.
>> And try and see what it how you react to that.
>> Yeah.
>> If you're up for it.
>> Yeah.
>> Yeah.
>> Anything to help.
>> Um what I do is I will give you a bit oxygen as well.
>> Um before I shock you again.
>> Um and worst case scenario, we might have to open you up.
>> Yeah.
>> Um and that. So I just warn you of that.
Now >> I'm not going to lie. It's not a risk of dying or is it? Um there is 50/50 chance >> um and that um but it does seem strong >> and that so you don't have to worry about that.
>> Okay.
>> So what I do is give you a bit oxygen now.
>> Yeah.
>> Then do another round.
>> Yeah.
>> Then if you do go on in proper cardiac arrest, >> we'll do everything we can.
>> So it is Dude, I was breathing in.
>> Yeah.
So, [clears throat] you got any pain?
>> No.
[snorts] So, we go again.
Analyzing heart rhythm.
Do not touch the patient.
[clears throat] Shock advised.
Charging.
Stay clear of the patient.
Deliver shock. Shock delivered.
Start seing. All right.
One more. Yeah. Then we're done.
>> Analyzing heart rhythm.
>> Do not touch the patient.
Shock advised.
Charging.
Stay clear of the patient.
Deliver. Shock. Shock delivered.
Start CPR.
Right, we get in lane to lane now cuz it is winter stop.
So I'm just take the phone out.
Right.
I'm going to give it a couple of seconds and hopefully it will I'm going to give you a bit of oxygen.
>> Uhhuh.
>> And then it might stop by then.
So, okay.
I don't feel like >> [sighs] [gasps] >> I'm fine.
>> [sighs] >> How are you feeling?
>> Quite a bit better to be honest, Doc.
>> Good. Right. Something feels good.
>> Yeah.
>> Something feels a lot better.
>> Good.
>> Yeah.
>> No pain anywhere or >> No. No, I'm absolutely fine.
>> I don't really feel anything.
>> One good thing, >> yeah, >> we won't have to take it into the theater.
>> Oh, thank God.
>> Um, so hopefully we keep it monitoring.
>> Yeah.
>> Um, and we might have we might do it again.
>> Yeah.
>> Um, but other than that, it's >> it's all gone. Well, thank God for that.
>> Thank you so much.
>> No worries.
Yeah.
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