Tag Archives: death
man holding his chest

Do Not Resuscitate Tattoos

A recent New England Journal of Medicine letter gained national attention by describing an emergency room visit by a patient with a tattoo on his chest, “Do Not Resuscitate.” The article told how the emergency room physicians, who had not encountered this issue before, contacted their medical ethics specialists to make sure they were complying with their […]

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man holding chest and woman offering him water

A Simple Community-Based Risk-Prediction Score for Sudden Cardiac Death

Although sudden cardiac death is a leading cause of death in the United States, most victims of sudden cardiac death are not identified as at risk prior to death. We sought to derive and validate a population-based risk score that predicts sudden cardiac death. Methods The Atherosclerosis Risk in Communities (ARIC) Study recorded clinical measures […]

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Cardiac Rupture in a Young Male Cocaine User

To the Editor: A 25-year-old man was found unconscious by his wife in the bathroom of his apartment. She called emergency services and cardiopulmonary resuscitation was promptly initiated within a few minutes. The patient was intubated, transferred to the Emergency Department (ED) of a local hospital, and after 1 hour of advanced cardiac life support […]

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Dr. Joseph S. Alpert

Emotional States and Sudden Death

It has been known anecdotally for thousands of years that acute positive or negative emotions can trigger sudden death. Indeed, there is even a Bible story about a man who died suddenly when confronted with a rebuke from one of Jesus’s disciples: “St. Luke reports that when Ananias was charged by Peter, ‘You have not […]

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A Cryptic Case: Isolated Cerebral Mucormycosis

A Cryptic Case: Isolated Cerebral Mucormycosis Presentation A rare infection raging within the brain of a 50-year-old African-American man was impossible to diagnose until after his death. He presented to the emergency department after the acute onset of garbled speech, confusion, right-arm weakness, and right facial droop. His medical history was significant for poorly controlled […]

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