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DR. CORNEL:
      He also reported that the heart was not contracting well within the fluid. I drained her pericardium but she just continued to go on a rapid downward spiral and at 10:30 that Sunday morning, the first of a series of cardiac arrests occurred.
      We started resuscitation, as usual, with ventilation. She was already connected to a ventilator but we changed the pattern and we started chest compressions.
      We gave her enormous doses of the drugs that we usually use, the drugs like adrenaline, initially with some response. But as the cardiac arrest went on and on there was really no response at all.
      We did have the advantage that she was in the intensive care unit when this arrest occurred so we had all kinds of lines and monitors in place. So we knew in great detail what we were doing, how the circulation was responding, and we knew that our resuscitation was effective.
      Normally within about a half hour of starting a resuscitation effort like this the heart is going again. But after that period of time, we were seeing no response.




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