Doug Davies, one of our BEEP Doctors based in the south of the county attended an incident on the 28th February at Sandside, near Milnthorpe.
Doug was called to a post-cardiac arrest patient with severe hypoxic agitation. He had suffered a cardiac arrest at home after a Myocardial Infarction. He had been resuscitated by the ambulance service crews, but they needed support to manage his post-arrest condition.
When Doug arrived, the patient was severely agitated. With an advanced airway in place, the patient needed ventilatory support and sedation. Post arrest patients require neuro-protective measures to prevent secondary brain injuries resulting from hypoxia. We want to minimise brain swelling in order to give them the best chance of a good neurological outcome.
Once the patient had been sedated and the blood pressure managed with inotropes (advanced drugs outside the remit of ambulance crews), ventilatory support was given by a ventilator (this would not have been possible without sedation). This is the first time we have been able to perform critical care interventions in the south lakes since the expansion of BEEP Doctors (BASICS) Cumbria!
Doug accompanied the patient to The Royal Lancaster Infirmary in the ambulance. Doug was the duty doctor on ICU the following day and was caring for the patient in the hospital. He was woken the next morning and was well with no apparent neurological damage. He remains in hospital receiving specialist cardiology care. All being well he should be discharged home after specialist treatment.