Post # 107
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.
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.
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
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
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
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
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.