Anaphylaxis, successful cardiopulmonary resuscitation out of hospital
Bibliographic record
Abstract
INTRODUCTION: Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death. Coronary artery spasm may occur with subsequent myocardial infarction, dysrhythmia, or cardiac arrest. Those with underlying coronary disease are at greater risk of cardiac effects from anaphylaxis. The coronary spasm is related to the presence of histamine-releasing cells in the heart. Cardiopulmonary resuscitation (CPR) is an emergency procedure for manually preserving brain function until further measures to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. It is indicated in those who are unresponsive with no breathing or abnormal breathing, for example, agonal respirations. CASE REPORT: This is a case report of a 56 years old female with anaphylactic shock after a successful cardiopulmonary resuscitation (CPR) . After the call our team was send to the patient's household. The patient was on the floor, unconscious. She was cyanotic, with very weak respiratory effort and decrease respiratory rate. As per patient's husband present at the scene , the patient has history of COPD. She took Ibuprofen(tablet400 mg). Her conditon was deteriorating . She was not breathing, and the pulse was not palplable. Cardiac monitor was showing asystoly. CPR was started iv line was placed. After 2 series of compression the patient was intubated. CPR was continued and after 15 minutes the pulse was palpable and the patient was transferred to hospital- Clinical Ceneter for futher investigation and treatment. During the transport her GCS was improving but patient was still unconsciousness. During hospitalization underwent a complete diagnostic and she was treated with H2 blockers, low molecular weight heparin, bronchodilatators and, xanthine therapy. She was discharged after 7 days of hospitalization. CONCLUSION: The sooner CPR is started the better is the outcome. In the first 3 minutes the chance of return of spontaneous circulation is 75%. After 4 minutes is 40%. After 5 minutes the chance of return of spontaneous circulation is minimal.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.008 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".