Dying myocytes contract?
Heard of bodies in a morgue seem to sit up.
Perhaps the exercise left the muscles in an excitable state and with lack of blood flow etc they contracted.
No evidence just a guess
Marty, (Dad, Bro etc.)
Martin Herman , M.D.
Sent from my iPhone
> On Feb 26, 2015, at 5:58 AM, kplatt6 <[log in to unmask]> wrote:
> I had a very similar case, maybe 12 years or so ago. Very memorable. Also a teenage boy, sudden collapse while cheering his sports team (post showed myocarditis, presumed viral. He had not complained of anything, so it was unrecognized). I don't recall the details of the EMS actions and our code, but just as you described, we had just pronounced him when he took a breath and moved.
> The family was in the room, and for their peace of mind, I restarted the code and ran it for another 10 minutes or so. My case did not have a second such event, though. There was never any ROSC or cardiac electrical activity (at any point during the code including after the breath and movement). We re-pronounced him (there's an unusual phrase for you!).
> As to explanations, I haven't a clue. Damndest thing.
> Ken Platt
>> On 2/25/2015 7:05 PM, Niel Miele wrote:
>> Your opinions on a strange development in a case would be welcome:
>> Teenage boy, previously healthy, sickle cell trait, playing basketball collapses
>> Found to be pulseless.
>> Police on scene apply AED and patient is shocked and remains pulseless
>> (I do not know if AED found shockable rhythm)
>> EMS arrives documents asystole, secures airway, I/O started, CPR is given, 6 rounds of Epi en route, Amiodarone
>> Arrives at hospital approx. 30 minutes of down-time.
>> Compressions held to check for rhythm--asystole, ultrasound of heart shows no activity:
>> Patient postures (arms extend and turn inward) and takes a breath (inhale/exhale...not stacked breath release)
>> CPR and medications continue. Again, stop to check rhythm:
>> Patient postures and takes breath
>> Pupils sluggishly reactive
>> Continues for a total of 30 more minutes, and is ultimately pronounced.
>> Autopsy not yet available.
>> Do you think that it is possible with effective CPR to have a somewhat functioning brainstem/respiratory drive? Is this some sort of reflex? Any other explanation?
>> Also, with no electrical cardiac activity for a prolonged time, would you continue once you saw these movements?
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