Cause of cardiac arrest

63m witnessed cardiac arrest in the step down unit, was laying down. Total down time <2min before rosc. CXR showed a large pleural effusion confirmed on PCOUS (above with floating lung).

Performed a bedside thoracentesis and took out 1400cc. Good Neuro recovery but since he also has COPD couldn’t come off the vent so trached him. 2 weeks out he is on trach collar and doing well

Diagnosis added by author

Hypoxemic respiratory failure, cardiac arrest, pleural effusion, POCUS

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