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8/27/93   MJR  Arrest  Note
	Patient was found by nursing staff unresponsive in bathroom
		without pulse.  Arrest called.  Patient was pulseless & apneic when
		I arrived.  CPR being instituted   A "quick look" with paddles 
		showed asystole.  Central venous access was obtained &
		patient was given epinephrine/atropine x 1.  CPR was
		continued.  Patient was intubated with bilateral breath sounds
		auscultated.  EKG leads applied

                            (image of flat line EKG is presented)

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		Rhythm asystole as above & verified in multiple leads.
		CPR continued.  Patient given Narcan  &  D50(?)  1 amp - 
		IVD.  Another epinephrine   &   atropine given.

                             (image of flat line EKG is presented)

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		Rhythm  as  above - asystole verified in multiple leads.
		Epinephrine  &  atropine given   ABC obtained  -  looked
		poorly oxygenating.  Two amps of NaHCO3 given   CPR
		continued.  rhythm as below

                              (image of flat line EKG is presented)

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Patient still asystole.  Given epinephrine   &   atropine again.
CPR continued.  Patient still pulseless  &  apneic.

                              (image of flat line EKG is presented)

 Rhythm as below.  Arrest terminated   secondary to cardiovascular
 unresponsiveness  @  4:35PM

                                                   Mat Mower

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