Archives for June 28, 2009

The Michael Jackson autopsy | The Sun |News

Update 6/29/09 @ 12:36  This may all be a hoax.


British Media and News Reporting may actually not be related.

The shock findings of the Michael Jackson autopsy | The Sun |News
8st 1oz, no food just pills in his stomach, bald, bruised, his ribs broken by CPR, 4 needle wounds near his heart…

I don’t know if this is real or not, but it sounds … like I have some questions …(1 stone is 14 pounds)

There’s this:

SUFFERED several broken ribs as frantic rescuers pumped his chest after he collapsed in cardiac arrest.

That’s unfortunately normal.  No problems there.

And the (Emergency Medical) weirdness:

Four injection sites were found above or near to Jacko’s heart.

All appeared to result from attempts to pump adrenaline directly into the organ in a failed bit to restart it.

Three of the injections had penetrated the heart wall — causing damage — but a fourth missed and hit one of the 50-year-old star’s ribs.

What?  Intracardiac injections of epinephrine?  I thought that went out in the very early 80’s.  As for ‘causing damage’, needles do that, but the major problems with intracardiac epi are coronary artery lacerations (bad, but not the end of the earth, as the recipient was dead to start with and getting a return of circulation allows time to fix them) and intracardiac muscle injection, which causes intractable ventricular fibrillation, which is Bad.  Capital B Bad.  Usually Unrecoverable Bad.

Where does one even get epi with and intracardiac needle? I’ve been in the business for a good while and haven’t seen one since Paramedic school (82-83) and was then taught it was out of favor.

Nowadays if you don’t have an IV line during a code (it happens) you can squirt it down the endotracheal tube, or, failing that, an intraosseous IV line (shorter needle, not in the heart, works very well) through which all the resuscitation meds can be given.

Interesting.  Nothing to make of it now, but, who’s a) been watching too many Tarantino movies and b) did this?

(I doubt an emergency pericardiocentesis was the reason for the described wounds, as those if done without sonographic guidance are done from the top of the abdomen up, and with sono guidance would be through the chest wall, but with sono guidance you’d know if they needed it or not, and if there was a big pericardial effusion it’d have been in the report).