Post # 107
@charmedbee: Lol, I think it’s the fault of the media! A lot of times they’re used interchangeably, but they’re definitely two different things. A heart attack can LEAD to cardiac arrest, but they aren’t the same thing.
@KatiePi: The whole “they’re not dead until they’re warm and dead” thing doesn’t apply to every patient. This refers more so to patient’s who are in a hypothermic environment, so for example a patient who was in a cold body of water, or when they’re trying to determine brain death in a patient who was purposefully cooled. But your average code brought into the ER, this isn’t really a factor. Same with patients who have been dead for a few hours (or even longer of course). They’ll start to get cold, but you don’t have to warm them again in order to pronounce them dead.
@Redroc_13: Actually, the point of defibrillation IS to restart the heart. The whole point of defibrillation/AEDs is to stop the chaotic electrical activity, or “stun” the heart, and hope that it restarts and does what it’s supposed to. I get what you’re saying about regulating a heartbeat, but that’s not exactly correct. Restarting it IS correct however.
Post # 108
I’m an esthetician. Dry skin lacks oil. Dehydrated skin lacks water (moisture). Dry skin can be perfectly hydrated. Oily skin can be dehydrated.
Overuse of oil-control products can cause excess oil production. Similarly, overuse of moisturizing products can overdry already dry skin.
Post # 109
@PaisleyMedic: Yeah, you’re right. That’s what I was thinking about. There was an episode of Grey’s Anatomy where a patient was hypothermic and they pronounced him “dead”. My mom was annoyed lol.
Post # 110
@Regina Phalange: I could never figure out that “work cut out for you” phrase! Thank you for explaining it.
This thread is making me feel like I need to read some books! I don’t think I have any random knowledge.
Post # 111
@HeartsandSparkles: YES! I knew about this a long time ago, but the Smithsonian magazine did something on this last year!
Post # 112
@PaisleyMedic I think what @Redroc_13 was referring to was asystole – when flatline occurs. It drives me crazy in movies/television when they shock asystole. That is not possible – it is not a shockable rhythm! ACLS algorithms would indictate use of meds (ex: epinephrine, vasopressin) and compressions with pulse checks. If the patient was in a disorganized rhythm like ventricular fibrillation, then yes, shock away! With asystole, there’s nothing to defibrillate.
I saw Lone Survivor recently with my former Marine husband (AMAZING movie) – they were so careful to get the details correct and maintain accuracy (slight spoiler alert) – and then final scene… again with shocking the asystole.
Post # 113
@sweetpea3363: Yeah, that’s what I meant when I said I get what you’re saying about regulating a heartbeat, but that’s not exactly correct. I figured that was probably what she was referring to. I agree it’s still obnoxious when they shock asystole. Medical shows show grossly incorrect procedures all the time, and I usually just let them go and try to not get annoyed.
I was just correcting that the point of an AED/defibrillation IS to restart the heart, because Redroc said that it wasn’t.