mortality meet how to present

1. MORTALITY MEET
Name : Mir Gh Mohiuddin
MICU Bed 2
Admitted on 24-11-22
Expired on 30-11-22

2. • 75/M, HTN, T2DM, referred from GMC Baramullah
• History of chest pain for 2-3 d
• Initial ECG : STE in inferior leads and V5,V6
• Thrombolysed with STK
• No chest pain on reception at skims
• Vitals at reception pulse-87, BP-105/70, RR-24, SO2-95%
• Normal respiratory and cardiac examination.
• Patient was started on DAPT, Anticoagulation, anti-HTN, Insulin.

6. • Patient was extubated after 6 hrs
• Vitals- pulse- 98, BP- 185/110, 136/94, RR- 28, SO2- 94% on 8l
• Chest examination revealed LIMA LIAA crepts
• Chest X ray revealed penumonitis patch in left lower zone.
• Started on antibiotics and continued on DAPT, Statins, Anti
coagulation, Nebulization, anti-hypertensives
• Investiagations : neutrophilic leukocytosis ( TLC-12, Neut-85%, KFT
worsened from 1.77-2.56. electrolytes: normal. ABG- acceptable
• On reception in MICU: Blood sugar-350 managed with insulin boluses
( sliding scale).

9. 30-11-22
• Morning rounds:
• Status- hemodynamically stable ( pulse-78, BP-134/76, RR-20,
SO2- 94 % on 2L, 88% on room air. Plan was to complete 5
days of injectable antibiotics, shift to ward and discharge
subsequently
• Monitor KFT for possibility of CIN. Nephrology review and
Medicine review for the same

14. Possibilities
• Free wall rupture
• Massive ICH with infratentorial bleed
• Re-infarct
• ITS NOT ALWAYS IN THE PHYSICIANS POWER TO CURE
THE SICK; AT TIMES DISEASE IS STRONGER THAN THE
TRAINED ART--- OVID.