CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 60-year-old
male, with unknown medical history, who was found down
asystolic.  In the field, the patient had 3 rounds of
epinephrine and atropine followed by return of ventricular
fibrillation rhythm.  He was shocked and then went into PEA.
He was again given epinephrine and atropine with return of
electrical activity and pulse.  The patient has been noted in
the emergency room flow sheets to be pulseless for greater
than 15 minutes in the field.  He was intubated in the field
after multiple failed attempts.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Unspecified intracranial hemorrhage,Cardiac arrest,Acute and subacute necrosis of liver,Acute kidney failure, unspecified
Intracranial hemorr NOS,Cardiac arrest,Acute necrosis of liver,Acute kidney failure NOS
Admission Date: [**2164-4-29**]        Discharge Date: [**2164-4-29**]

Date of Birth:  [**2103-12-25**]        Sex:  M

Service:  MED


HISTORY OF PRESENT ILLNESS:  The patient is a 60-year-old
male, with unknown medical history, who was found down
asystolic.  In the field, the patient had 3 rounds of
epinephrine and atropine followed by return of ventricular
fibrillation rhythm.  He was shocked and then went into PEA.
He was again given epinephrine and atropine with return of
electrical activity and pulse.  The patient has been noted in
the emergency room flow sheets to be pulseless for greater
than 15 minutes in the field.  He was intubated in the field
after multiple failed attempts.

In the emergency room , the patient's blood pressure was
unstable, and he was started on dopamine and eventually
required Levophed as well.  The patient's pupils were fixed
and dilated.

HOSPITAL COURSE:  The patient arrived intubated, not
requiring sedation for comfort.  His blood pressure was
maintained with pressor support of dopamine and Levophed.
The patient's pupils were fixed and dilated, and he had no
corneal reflex on admission.  A head CT showed a massive
intracranial hemorrhage.  On admission, the patient's pH was
6.91.  The patient was given bicarb and ventilated, and his
pH on the day of his passing was 7.20 with a PCO2 of 48 and a
PO2 of 72.

The patient's family was notified, and his sisters arrived at
his beside, but did not know any further medical history for
this patient.  The patient's 3 sisters were the closest
relatives, and after discussions with the family, the
decision was made to withdraw pressor support.  Shortly after
withdrawing pressor support, the patient passed away.  The
patient was declared at 2:22 pm on [**2164-4-29**].  The family
refused autopsy and medical examiner declined the case.

DEATH DIAGNOSES:
1. Intracranial hemorrhage.
2. Asystolic arrest.
3. Respiratory failure.
4. Multiorgan system failure.




                        [**First Name8 (NamePattern2) **] [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 284**], MD

Dictated By:[**Last Name (NamePattern1) 55654**]
MEDQUIST36
D:  [**2164-5-12**] 22:20:39
T:  [**2164-5-14**] 11:10:04
Job#:  [**Job Number **]
{'Unspecified intracranial hemorrhage,Cardiac arrest,Acute and subacute necrosis of liver,Acute kidney failure, unspecified'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 60-year-old
male, with unknown medical history, who was found down
asystolic.  In the field, the patient had 3 rounds of
epinephrine and atropine followed by return of ventricular
fibrillation rhythm.  He was shocked and then went into PEA.
He was again given epinephrine and atropine with return of
electrical activity and pulse.  The patient has been noted in
the emergency room flow sheets to be pulseless for greater
than 15 minutes in the field.  He was intubated in the field
after multiple failed attempts.

MEDICAL HISTORY: 

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Unspecified intracranial hemorrhage,Cardiac arrest,Acute and subacute necrosis of liver,Acute kidney failure, unspecified'}
