Sunday, September 14, 2008

It Ain't Over 'Til It's Over

I've seen plenty of suicidal people work their way through the ER, the vast majority of whom aren't successful.  One young girl, however, recently got as close as you possibly can.  

EMS found her with slit wrists bleeding into a full bathtub.  She was assumed to be dead on scene, but someone eventually managed to find a pulse (you aren't dead until you're warm and dead).  Rushed to the ED, she arrived in cardiac arrest, pale, freezing to the touch with a core temperature in the 80s.  Compressions, meds, defibrillation x 3, and an inflatable rewarming blanket later, she regained her pulse and rejoined the living.  Despite intense effort by the ED staff, the ICU initially hesitated over admission, claiming that "these kinds of patients" don't do well.  Our attending very quickly had them change their minds, and I learned afterwards that she walked out of the hospital only a few days later.

Just further proof that when you're number's up, it's up... but if it's not, there's nothing you can do about it.  After dealing with that code a while back, it was nice to see such a heroic save.  Hopefully, she gets the help she needs and makes the best of her miraculous second chance.

No comments: