Cardiac Arrest

    You and your medic partner are dispatched emergency to a residence for a "cardiac arrest." As you enter the scene, the husband escorts you to his wife, who is laying on the floor, dead looking. You ask him when the last time he saw her, and he says "about 2 hours ago." You place he on the monitor to see if she has a workable rhythm or if she is in asystole. To your disbelief, the patient is in a workable rhythm, PEA. You immediately start CPR. As your partner continues with chest compressions, you try to intubate this patient. You have two unsuccessful intubations, so you move straight to the King LT Tube, with successful intubation. You continues to try to gain IV access, but are unsuccessful due to no good veins. You switch to do compressions, and your partner gains IO access. Your partner gives the first dose of Epi. A rhythm check is performed, and she is now in VIFB. A shock is immedietly delivers, and compressions are resumed. You get the backboard, and place her on it. Police have no arrived, and they help you load the patient onto your stretcher. Once in the ambulance, you do another rhythm check, and she is still in VFIB. A shock is deliver, and another Epi is given. Your partner jumps in the front seat, and starts going lights/sirens to the hospital. While in the back of the ambulance, you continue with CPR. Another rhythm check is performed, and she is still in VTACH. You deliver a shock and give Sodium Bicarb (just because of the down time). You arrive at the hospital, and do another rhythm check. She is not in VTACH without a pulse. You deliver a shock, and give your third dose of Epi. You and your partner rush the patient into the ER, where the hospital's code team is waiting for you. You transfer care over to the hospital staff. They work her for another 10 minutes (you have worked her for over 30 at this point).
    Surprisingly, they hospital ends up getting a pulse back on her, and they care for her in the ER until they can get an ICU bed.