In this episode of City Hospital Dilemma, part of the Diagnosis: Unknown series by Medical Case Studio, we explore the fatal decline of 87-year-old Ms. Samina. What began as a routine hip surgery spiraled into respiratory failure, DIC, and cardiac arrest. Was it sepsis? A hidden embolism? Watch the full story and share your clinical insight.

Please drop your comments below :

🗣️ Share your thoughts and write your comments with us : http://www.youtube.com/@Dr.AfshinT.A

In this gripping episode, we unravel the perplexing case of an old patient whose recovery took a harrowing turn just 48 hours after being discharged home healthy. She returned with a catastrophic decline in the ICU. Through a captivating expert podcast, we explore the potential causes of her deterioration—was it sepsis, a clot, or an unforeseen complication? Join us as we delve into the haunting question that left her care team reeling. Don’t miss this intense medical mystery!

If you find this case compelling, please like and share the video.

🔔 Subscribe for weekly medical mysteries: [http://www.youtube.com/@Dr.AfshinT.A]

🎧 Available on :

@Join us on TikTok : https://www.tiktok.com/@dr.a.t.a?_t=Z...

@Join us on Telegram: https://t.me/MedicalCaseStudio

@Join us on Podbean: https://www.podbean.com/user-6mx5pwTzDun3

@Dr.AfshinT.A

🗣️ Share your thoughts and write your comments with us : http://www.youtube.com/@Dr.AfshinT.A

⏱️ 1:00 – 2:30

🟦 CHAPTER 1: A Promising Recovery

Hip surgery success

Post-op mobility with walker

Discharge on apixaban and supportive meds

Light music and uplifting tone

⏱️ 2:30 – 4:00

🟥 CHAPTER 2: The Return

Emergency readmission 48 hrs later

Symptoms: confusion, diarrhea, weakness

Hyponatremia, A-Fib, labs and vitals

ICU transfer ordered by nephrologist

⏱️ 4:00 – 5:30

🟧 CHAPTER 3: The ICU Spiral

Sodium correction → brief improvement

Respiratory distress, suspected pneumonia

Sputum shows Candida, cultures negative

Dialysis begins for worsening renal status

⏱️ 5:30 – 6:30

🟫 CHAPTER 4: From Oxygen to Tubes

Intubation

Bilateral effusions tapped, chest tubes inserted

Pneumothorax develops → surgical intervention

PE suspicion leads to anticoagulation

⏱️ 6:30 – 7:30

🟪 CHAPTER 5: System Breakdown

GI bleeding, thrombocytopenia

No EGD due to instability

Full-blown DIC diagnosis

Inotropes started for BP support

⏱️ 7:30 – 8:30

⬛ CHAPTER 6: Code Blue

Severe bradycardia → Code Blue triggered

30-minute resuscitation attempt

Declared dead at 08:00

Somber tone, fading visuals

⏱️ 8:30 – 9:30

🔍 CHAPTER 7: What Went Wrong?

No clear source of sepsis

Multisystem organ failure or hidden complication?

Ask viewers: What do you think? Leave your theory below.

🔔 Subscribe for weekly medical mysteries: [http://www.youtube.com/@Dr.AfshinT.A]

In this gripping and tragic real-life case, we follow the story of Ms. Maria Andrés, a 55-year-old woman from Spain, who was rushed into the emergency department pulseless after a sudden collapse. Despite successful resuscitation and a return of spontaneous circulation (ROSC), she never regained consciousness. The cause? A devastating subarachnoid hemorrhage (SAH) that left irreversible brain damage.

From her dramatic arrival at the ER, through advanced resuscitation efforts, brain imaging, ICU management, and eventual brain death, this video offers an in-depth, educational, and emotionally powerful look into:

How subarachnoid hemorrhage presents and is diagnosed

Critical steps in ACLS resuscitation and airway management

Criteria for brain death and the challenges of declaring death in the ICU

Insights from neurosurgery, emergency medicine, anesthesiology, and critical care

A behind-the-scenes M&M conference evaluating the case and medical decisions

Led by our expert team this 37-minute episode explores the intersection of medical skill, ethical decisions, and the heartbreaking reality of critical brain injury.

📌 Chapters & Topics Discussed:

00:00 – Intro & EMS Arrival

05:30 – Resuscitation and ROSC

12:00 – CT Scan Findings: SAH and Brain Herniation

18:40 – ICU Care and Neurologic Assessment

24:20 – What is Subarachnoid Hemorrhage (SAH)?

30:10 – Understanding Brain Death

35:00 – M&M Committee Review & Case Closure

❓ Medical Questions Answered:

What is a subarachnoid hemorrhage, and how is it managed?

What are the official criteria for declaring brain death?

👨‍⚕️ For Healthcare Professionals & Students:

Perfect for emergency physicians, ICU staff, neurosurgeons, nurses, medical students, and anyone interested in high-stakes critical care decision-making. This episode is both educational and emotionally resonant.

📚 Keywords:

subarachnoid hemorrhage, SAH, brain death, ICU case, emergency medicine, medical resuscitation, ROSC, PEA, asystole, neurosurgery, coma, brain injury, M&M review, ACLS protocol, medical storytelling

📢 Hashtags:

#MedicalCaseStudio #SubarachnoidHemorrhage #BrainDeath #CriticalCare #EmergencyMedicine #Resuscitation #ICUCase #RealMedicalStories #CodeBlue #MedicalEducation

🔔 Subscribe for weekly medical mysteries: [http://www.youtube.com/@Dr.AfshinT.A]

🎧 Available on :

@Join us on TikTok : https://www.tiktok.com/@dr.a.t.a?_t=Z...

@Join us on Telegram: https://t.me/MedicalCaseStudio

@Join us on Podbean: https://www.podbean.com/user-6mx5pwTzDun3

@Dr.AfshinT.A

🗣️ Share your thoughts and write your comments with us : http://www.youtube.com/@Dr.AfshinT.A

🔴 Misdiagnosed and Dead in Hours: The Deadly Truth About Aortic Dissection

How does one of the deadliest medical emergencies go unnoticed, even in the ER?

In this powerful documentary-style video, Medical Case Studio takes you through real cases of acute aortic dissection that shocked the world. From John Ritter and Lucille Ball to King George II and even Dr. Michael DeBakey himself, we uncover how this silent killer strikes fast, hides well, and demands urgent action.

✅ What is aortic dissection?

✅ Why do doctors miss it?

✅ How can we catch it before it's too late?

📌 Watch now and learn the signs that could save a life.

🔔 Subscribe for more real-life medical mysteries, historical autopsies, and cutting-edge clinical insights.

#AorticDissection #JohnRitter #MedicalCaseStudio #MedicalMystery #EmergencyMedicine #LucilleBall #DrDeBakey #MedicalDocumentary #HeartHealth

🔔 Subscribe for weekly medical mysteries: [http://www.youtube.com/@Dr.AfshinT.A]

🎧 Available on :

@Join us on TikTok : https://www.tiktok.com/@dr.a.t.a?_t=Z...

@Join us on Telegram: https://t.me/MedicalCaseStudio

@Join us on Podbean: https://www.podbean.com/user-6mx5pwTzDun3

@Dr.AfshinT.A

🗣️ Share your thoughts and write your comments with us: http://www.youtube.com/@Dr.AfshinT.A