Refractory Ventricular Fibrillation: 48 minutes and 13 shocks given
Flat Line or Asystole: 37 mins and CPR done for over an hour
Total Time of Cardiac Arrest: 1 hour and 25 minutes
09:30
Left Esperance to return home to Kalgoorlie
09:3013:34
1st ECG showing Heart Attack in the inferior wall of the heart
This ECG shows ST segment elevation in leads II, III and AVF which indicates ST elevation myocardial infarction. This means that there is clear evidence the patient is having a major heart attack involving the inferior wall of the heart. There is no blood supply reaching this area of the heart.
13:3413:42
Patient goes into Cardiac Arrest confirmed by GP
The patient had NO pulse, NO blood pressure and NO breathing
13:4214:50
Emergency Physician from Kalgoorlie Hospital arrives at Kambalda Health Centre
14:5014:52
Last large dose of Adrenaline 5mg given and CPR was ceased after 2 cycles
14:5215:07
Return of spontaneous circulation
Return of spontaneous circulation means that the patients pulse has returned and there are signs of life. This happened when the patient’s wife prayed
15:0715:09
The second ECG was done
This ECG shows definitive electrical activity of the heart compatible with having a pulse. There are reciprocal changes in the anterolateral leads consistent with having had a heart attack. There continues to be ST elevation in the inferior leads suggestive of ongoing damage to the heart.
15:0916:30
Arrived at Kalgoorlie Hospital via ambulance
Clot busting drug Tenecteplase was administered
16:3023:00
Right Coronary Artery Stent and Intra-aortic Balloon pump inserted
23:00Day 2 - 02:00
Shifted to RPH ICU
Continued on mechanical ventilation and blood pressure support medications
Day 2 - 02:00Day 4
Moving hands and legs
Kidney failure and liver impairment
Dialysis started for Kidney failure
Day 4Day 5
Blood pressure supports and sedation weaned off
Day 5Day 6
Removed endotracheal tube and mechanical ventilation
I was breathing on my own
Able to speak with perfect memory and no neurological deficits
Day 6Day 8
Shifted out of ICU to Cardiac Care Unit
Day 8Day 13
Discharged from Royal Perth Hospital
Required total of 6 dialysis before kidney function normalised
Liver impairment returned to normal
Day 13