Sunday, July 15, 2012

Death Summary

History of Present Condition:
Sam is a 42-year-old white male found down and unresponsive by his wife.  EMS was called.  They found the patient pulseless, apneic, unresponsive, in asystole.  The patient was intubated in the field by EMS.  He was treated with multiple rounds of epinephrine, atropine, as well as sodium bicarbonate and Narcan without any return of spontaneous circulation.  The patient has undergone approximately 30- 40 minutes of CPR/ACLS upon arrival here in the emergency department.  He has fixed, unresponsive, dilated pupils.  Silent precordium.  No audible heart tones.  No palpable central or peripheral pulses. Skin is cold, pale, dry, somewhat cyanotic.  Therefore, at the time documented on the patient's records, the patient was pronounced dead.  The code was called.  His family is apparently en route to the emergency department.  They will be notified at this time.  The patient's wife reports that he had gone out to dig post holes for a fence.  She had not seen him for a period of about an hour, went out to check on him to see why he had not come in for dinner, when she found him unresponsive.  According to the wife, he had not had any complaints of chest pain, difficulty breathing, or any other complaints of any recent illness prior to this episode.  He has otherwise been at his baseline health status.  

Cause of Death:  
Acute coronary syndrome.  

Time of Death:  
2135 hours.  

Disposition:  
The patient's body will be released to his family. 
________________________________________________________________________________

Prompt:  Magpie Tales 126

*Disclaimer- I wrote this.  This is fiction.  I have worked with medical documents for almost 10 years, so this is from my own knowledge.  I would never violate HIPAA or a patient's privacy for the sake of prose.  For reals, yo.  That's just fucked up.*

And the whole death thing?  Yeah, pure coincidence.  I swear my next post will have rainbows involved.  
________________________________________________________________________________

15 comments:

  1. I like the work of fiction ~ My first time to read the death summary, factual and straight to the point ~

    ReplyDelete
  2. Replies
    1. Both are so true. The methodical med speak really does make some of these kinds of things so startling in their flatness. Especially hearing a doctor refer to a miscarried baby as "products of conception." That one gets me every time.

      Delete
  3. nice...you use your knowledge well to make it seem very plausible...maybe its just me but i wonder what the back story is a bit...

    ReplyDelete
  4. Yep, it's obvious you know your medical terminology ... rainbows next time, you say? I liked this one!!

    ReplyDelete
  5. Your knowledge of medical terminology really brings this to life.

    =)

    ReplyDelete
  6. The medical team declared the patient dead. His wife commented "His condition is satisfactory"
    Soreeeeee!

    ReplyDelete
    Replies
    1. Honestly... I thought about tossing a bit of humor in there. Only for about 5 seconds, though ;-)

      Delete
  7. Another post bites the dictionary dust... ツ

    p.s. products of conception? *shiver*

    ReplyDelete
    Replies
    1. Yes. It makes me cringe every time of hear it. And I've always thought of myself and pretty damn tough. But that's just. Harsh.

      Delete
  8. That is fo rillz. And I shall endeavor to avoid digging post holes for a while...

    Good piece.

    ReplyDelete
  9. I'm so happy to read this was fiction!

    ReplyDelete