testimony from ER doctor is around 3:05 hours on the tape
death was declared at 750 am (3:26:45 on tape) - 7 mm lac over right
eyebrow - no mention of lac at back of head - (if thats where it was)
3:50:03 - (or 3:26 ish on tape) - (in that timeframe on the tape) - he
reads chart - no mention of frostbite - GCS 3 (lowest possible score)
- abdomen and musculoskeletal unremarkable - 'mind can only focus on
so much'
647 am patient arrived in ER
3:15:00 ish on tape - perfusion described
3:18:00 ish on tape - asystole described
3:05:00 - residency described
3:06:00 - 2 docs on duty and 4 to 5 to 12 nurses on duty - this was
fouled up info - maybe he meant 4 nurses and 12 techs
he didnt really explain 'cardiac arrest' - let me try
the heart is an electro / mechanical pump - the sinus node is like the
spark plug of the heart - its a magical spark plug - it fires off
every second until it gets tired or destroyed or corrupted or
something - the sinus node sends an electrical spark along the walls
of the heart causing them to contract / beat
when the heart get screwed up - the EKG will show either 'asystole' or
'PEA' or some weird rhythm - 'asystole' is flat line - the sinus node
is no longer firing - there is no electrical activity within the heart
- 'PEA' is Pulseless Electrical Activity - the sinus node is firing
but its weak - and the electrical conduction thru the heart walls is
weak - so the heart beats very weakly and really does not move very
much blood - VF and AF are Ventricular Fibrillation and Atrial
Fibrillation - the sinus node is firing too fast or the conduction
thru the heart walls is messed up - and the heart is quivering and not
really pumping well
the other part of the story is the 'arteries' - the arteries are like
pipes - but they are special pipes - they can expand and contract in
size somewhat - so this affects how hard the heart has to pump
'perfusion' relates to the movement of nutrients into the cells - it
is tremendously complicated when you get down to the molecular level I
am sure - but like the doctor said - it is basically the blood
carrying oxygen and nutrients to the cells - when the cells dont get
all the stuff that they need, they start to degrade and die
I would guess that john okeefe primarily died of blood loss - he bled
out - his brain and heart couldnt get the nutrients that they needed -
his brain and heart cells started to die - the cold could have slowed
down that process - but his organs were too badly damaged apparently
to recover
send corrections and comments to zerg90 at gmail.com
--
shes got a kid ... together -
https://youtu.be/IQQ-hxIwm70?si=8jrwZRcfZg-vN4Ye&t=237
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