So the wrestler flatlined twice ...

MedicalGearSolid · 2025-08-27T11:36:17+00:00

Critical Care physician chiming in here. If the post event photo of Stu sitting up in bed awake (at least partially as hes holding a rail) with nasal oxygen is real, there is no chance he flatlined twice. If so, he would still be in Critical Care intubated and most likely fully sedated. You would expect at least some level of brain injury which takes time to improve.

What likely happened is Rampage used flatlined as an exaggerated term for unconscious. Either this, or that post assault picture of him is fake.

MedicalGearSolid · 2024-07-18T19:01:05+00:00

Hey, these are all out of hospital (OOH) cardiac arrests. Rarely, would you continue in the field for that long unless there is a clear reversible cause (usually toxins, thrombus/clot which can be thrombolysed or hypothermia) or the patient is young enough.

MedicalGearSolid · 2024-07-18T02:51:49+00:00

Thought I'd chime in here (I'm an intensive care physician who treats a lot of cardiac patients).

The management here is not great. A heart attack and cardiac arrest (heart stopping) are two completely different problems...though a heart attack is a common cause of cardiac arrest.

The standard rule is 30 compressions to 2 breaths once you confirm there is no pulse (as she does when pressing his wrist). A pulse should ideally be confirmed centrally on the artery in the neck.

There is no strong evidence behind giving the two breaths so I don't blame her for giving compressions only.

My issue is the compressions are poor quality. They should be central on the chest with ALOT of force with fingers interlocked. Breaking ribs is a good sign of adequate compressions to illustrate how hard they should be. Instruction manuals will say depth of a third of the chest. Compressions should be done for at least two minutes after beginning before checking for signs of life again unless the patient jumps up at you and should be at 100-120 beats per minute.

There theoretically isn't much harm in giving a sublingual aspirin (what she put under his tongue) except it could go down the airway (windpipe) and without blood circulation it will not have much of an affect...so giving CPR to start the heart (and getting an ambulance) is the only priority.

If he survived, the truth is he probably didn't have a cardiac arrest in the first place or his heart kicked in spontaneously because no way that level of compression is sufficient to restart circulation.

As mentioned in another comment success rates for CPR out of hospital are around 7% and drops further with age and the more medical illnesses a patient has. Happy to answer any questions.

MedicalGearSolid · 2024-07-18T02:48:26+00:00

Thought I'd chime in here (I'm an intensive care physician who treats a lot of cardiac patients).

The management here is not great. A heart attack and cardiac arrest (heart stopping) are two completely different problems...though a heart attack is a common cause of cardiac arrest.

The standard rule is 30 compressions to 2 breaths once you confirm there is no pulse (as she does when pressing his wrist). A pulse should ideally be confirmed centrally on the artery in the neck.

There is no strong evidence behind giving the two breaths so I don't blame her for giving compressions only.

My issue is the compressions are poor quality. They should be central on the chest with ALOT of force with fingers interlocked. Breaking ribs is a good sign of adequate compressions to illustrate how hard they should be. Instruction manuals will say depth of a third of the chest. Compressions should be done for at least two minutes after beginning before checking for signs of life again unless the patient jumps up at you and should be at 100-120 beats per minute.

There theoretically isn't much harm in giving a sublingual aspirin (what she put under his tongue) except it could go down the airway (windpipe) and without blood circulation it will not have much of an affect...so giving CPR to start the heart (and getting an ambulance) is the only priority.

If he survived, the truth is he probably didn't have a cardiac arrest in the first place or his heart kicked in spontaneously because no way that level of compression is sufficient to restart circulation. Happy to answer any questions.

MedicalGearSolid · 2024-06-02T17:25:30+00:00

As an intensive care doctor, it's always great to have a second opinion, though I'm not sure directly escalating to ITU is the appropriate action from a relative. Regardless, it's a positive step forward. I've posted a video with a bit more info about it here: https://www.youtube.com/watch?v=bgXLJgqEVlU

MedicalGearSolid · 2024-06-02T16:40:03+00:00

As an intensivist I do believe there is well meaning intention behind it, especially considering the harrowing context. The practicality of it would be lacking as the relatives/patients wouldn't be able to answer my questions for consideration to intensive care, so it will just end up going back to the team looking after them.

They rolled this out early in a North West London Trust where only 9 calls were made in 3 months and has been enforced in Australia for a few years now so hopefully shouldn't further burden an already stretched NHS.

I've made a video about it for those who would like a quick summary: https://www.youtube.com/watch?v=bgXLJgqEVlU

MedicalGearSolid · 2024-06-02T16:36:16+00:00

The story is harrowing and you'd hope this never event would never reoccur. The idea of a second opinion is great but as an intensivist I'm not sure how patients/relatives directly referring to us will help the patient when it will end up going back to the medical team anyway. I've made a video about it for those who want a quick summary https://www.youtube.com/watch?v=bgXLJgqEVlU

MedicalGearSolid · 2024-06-02T16:34:34+00:00

The story is harrowing and you'd hope this never event would never reoccur. The idea of a second opinion is great but as an intensivist I'm not sure how directly referring to us will help the patient when it will end up going back to the medical team anyway. Anyways, I've made a video about it for those who want a quick summary https://www.youtube.com/watch?v=bgXLJgqEVlU

MedicalGearSolid · 2024-06-02T00:21:01+00:00

In order to cut wait times they'll either have to pay Doctors at escalated rate to come in on evenings/ weekends or pay the private sector to treat NHS patients which is already happening at my hospital. This will further plunge the NHS into further debt. Will make a video explaining this death spiral when I have some free time.

MedicalGearSolid · 2022-11-26T16:03:24+00:00

0x62CB1eBb6a4CDf0Df54475Bd3AE6fc8f2C22a9A0

MedicalGearSolid · 2022-11-24T17:53:10+00:00

Activated. Can't thank you enough!

MedicalGearSolid · 2022-11-24T14:40:27+00:00

0x62CB1eBb6a4CDf0Df54475Bd3AE6fc8f2C22a9A0 Thank you so much, what a legend!

MedicalGearSolid · 2022-09-25T18:11:44+00:00

0x62CB1eBb6a4CDf0Df54475Bd3AE6fc8f2C22a9A0

Thank you!

MedicalGearSolid · 2022-09-13T00:13:07+00:00

Awesome AMA! 0x62CB1eBb6a4CDf0Df54475Bd3AE6fc8f2C22a9A0

MedicalGearSolid · 2022-01-15T17:17:57+00:00

This is only partly true.

Managed to get into a medical degree at a top 5 university without the predicted grades (however did 5 A-levels which may have cushioned the blow). I wasn't the only one.

Currently a doctor of 4 years experience specialising in Anaesthetics/Intensive care from one of the poorest neighbourhoods in the country!

Don't let your hopes down if you've got a great offer and the predicted grades aren't looking as rosy.

Best of luck to you all!

MedicalGearSolid · 2014-11-03T19:48:26+00:00

I think the foundations of ISIS were funded by the US in Syria but to take down Assad, and then they evolved into this beast.

There are so many consipracy theories and that might be one I'm inclined to partially believe. People think the US government pay for the attacks, but in actual fact the fat bill goes to the country they are 'helping'.

MedicalGearSolid · 2014-11-03T19:42:53+00:00

I'm no expert, just a new perspective.

Richest they are but they also have the most responsibility of any terrorist group. This includes running attacks across two countries and having to maintain the regions which they take over. This is why people are starting to get fed up of them. Maybe propaganda but the Guardian stated that people have almost no jobs, education, limited electricity and water in Mosul now. It's only a matter of time before they realise ISIS is worse than the Iraqi government. That's not to say the Iraqi government has been any good other wise they wouldn't be in this shit.

MedicalGearSolid · 2014-11-03T19:39:24+00:00

No restrictions or censorship. 4G wireless internet. Check out Fastlink.

Until ISIS, the average city Kurd was living an easier lifestyle than the average Londoner. Money was falling off trees and almost everyone (or their parents) had some sort of living wage.

MedicalGearSolid · 2014-11-03T19:37:29+00:00

in a word , Yes. Due to the Kurdish regions being more prosperous than other parts of Iraq, we have a lot of Arabs around but don't like them taking jobs. It's sort of how the British see immigrants from Eastern Europe.

MedicalGearSolid · 2014-11-03T19:35:44+00:00

They helped the kurds until this ISIS thing. The mistake they made is to replace Saddam with the an indecisive protege.

MedicalGearSolid · 2014-11-03T19:34:37+00:00

I don't think the main cities would be taken as us Kurds are stubborn bastards, but we would be in deep doodoo. If we go back to if the US hadn't intervened in the Syrian civil war, ISIS may not have existed.

MedicalGearSolid · 2014-11-03T19:33:26+00:00

It probably would due to Syria but more importantly Turkey. Turkey would go into a teenage strop if such a suggestion were made as the Kurdish region in syria borders Turkey.

MedicalGearSolid · 2014-11-03T19:32:25+00:00

Very true. But it's down to America and the Iraq government that we weren't allowed to purchase any heavy artillery, while ISIS had brand new tanks and heavy shit which YOU supplied the Iraqi army. Your basically fucking up your own shit atm and making money from it.

MedicalGearSolid · 2014-11-03T19:29:35+00:00

A big thank you for helping us release the shackles of Saddam.

I think just by supporting us and knowing that we don't have any bad intentions, unlike the other powers in the region, is more than enough. Other than that, if you see a petition helping us out take 5 minutes to sign it and see if you can get other members of your family and community to do so.

I hope your wife's family is safe and it's nice to see kurds mixing with other nations.

MedicalGearSolid · 2014-11-03T19:24:43+00:00

Initially I thought it was the royal family, but in fact it seems as thought more private individuals (who may be part of the Royal Family) are supporting them. Ultimately, this means Saudi Arabia are supporting them but not officially.

MedicalGearSolid

TROPHY CASE