Background: In-hospital cardiac arrest (IHCA) remains a leading cause of mortality in the United States, with an estimated 290,000 cases annually and survival to discharge rates ranging from 15% to 40% as of 2024. For those patients who achieve return of spontaneous circulation (ROSC), predicting their neurological outcome and survival in the intensive care unit [...]

Background: A core ability of a capable Internal Medicine resident is ability to manage inpatient emergencies like arrhythmias and cardiac arrest. However, between 30-35% of first-year residents at our residency program fail their first attempt at an arrhythmia and cardiac arrest simulation exam, and more than 75% report not feeling confident by the end of [...]

Case Presentation: A 25-year-old female with a history of Systemic Lupus Erythematosus (SLE), lupus nephritis, cardiomyopathy, transient ischemic attack, and epilepsy presented as an ICU transfer for Altered Mental Status (AMS). The patient initially presented to an outside hospital for this complaint, which was attributed to seizures. Her course was complicated by severe hypotension, again [...]

Case Presentation: IntroductionSudden cardiac arrest (SCA) remains a major cause of morbidity and mortality, particularly in elderly patients with multiple comorbidities. We present a case of an elderly patient who developed pulseless electrical activity (PEA) shortly after receiving haloperidol, without preceding changes in telemetry readings.Case PresentationA 78-year-old man presented to the emergency department after a [...]

Case Presentation: Cardiopulmonary resuscitation (CPR) is a critical intervention in cardiac arrest management, essential for maintaining circulation and oxygenation to avert irreversible brain damage. This case report highlights the impact of high-quality CPR on neurological outcomes, even after extended resuscitation.A 45-year-old sedentary female with multiple sclerosis (MS) and morbid obesity with a BMI of 53 [...]