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16. Successful resuscitation of refractory ventricular fibrillation with double sequence defibrillation

Author

Park, SungJoon, Kim, Jung-Youn, Cho, Young-Duck, Lee, Eusun, Shim, Bosun, and Yoon, Young-Hoon

Subjects
survival rate, medicine.medical_specialty, Defibrillation, medicine.medical_treatment, CPR/Resuscitation, Case Report, Critical Care and Intensive Care Medicine, Critical Care Nursing, Chest pain, Internal medicine, defibrillators, medicine, Survival rate, medicine.diagnostic_test, business.industry, Mortality rate, Advanced cardiac life support, lcsh:Medical emergencies. Critical care. Intensive care. First aid, lcsh:RC86-88.9, Emergency department, ventricular fibrillation, medicine.disease, Ventricular fibrillation, Cardiology, advanced cardiac life support, medicine.symptom, business, Electrocardiography
Abstract

In cardiac arrest, if the initial rhythm is ventricular fibrillation (VF) or pulseless ventricular tachycardia, the survival rates are high and good neurologic outcomes are expected. However, the mortality rate increases when refractory ventricular fibrillation (RVF) occurs. We report a case of RVF that was successfully resuscitated with double sequence defibrillation (DSD). A 51-year-old man visited the emergency department with chest pain. The initial electrocardiography showed markedly elevated ST-segment on V1–V5 leads, and VF arrest occurred. Although 10 defibrillations were administered over 20 minutes, there was no response. Two rounds of DSD were performed by placing additional pads on the patient’s anterior-posterior areas and sequentially applying the maximum energy setting. The patient returned to spontaneous circulation and was discharged with cerebral performance category 1 after 14 days of hospital admission. Therefore, DSD could be an option for treatment and termination of RVF.

Published
2021

22. Additional file 2 of Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study

Author

Heekyung Lee, Oh, Jaehoon, Hyunggoo Kang, Lim, Tae Ho, Byuk Sung Ko, Choi, Hyuk Joong, Park, Seung Min, Jo, You Hwan, Lee, Jong Suk, Park, Yoo Seok, Yoon, Young-Hoon, Kim, Su Jin, and Young-Gi Min

Abstract

Additional file 2: Table S1. Comparison of baseline characteristics between patients of KoCARC registry and the study cohort.

Published
2021
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33. Determining whether A Low HEART Score Is Associated with Low Risk in Coronary Angiography Results: Validation of HEART Score Using Coronary Angiography Results

Author

Yoon Young Hoon, Park Jong-Hak, Lee eu sun, Park Sung Jun, Choi Sung-Hyuk, and Cho Young duck

Subjects
medicine.medical_specialty, biology, business.industry, Incidence (epidemiology), Emergency department, Chest pain, medicine.disease, Troponin, Stenosis, Internal medicine, Etiology, Cardiology, biology.protein, Medicine, Risk factor, medicine.symptom, business, Mace
Abstract

Purpose: The history, electrocardiogram, age, risk factor, and troponin (HEART) score have not yet been adopted in the emergency department (ED) in South Korea. We aimed to investigate whether patients with low HEART scores have a low risk of coronary angiography (CAG) results. Methods: Patients with chest pain with a possible cardiac etiology in the ED were included. Patients were divided into low-risk (0 – 3), intermediate-risk (4 – 6), and high-risk (7 – 9) groups according to the HEART score. We analysed the CAG results of the included patients. CAG results were divided into four grades: Grade I, > 70%; Grade II, > 50%; Grade III, 10% – 50%; and Grade IV, < 10%of stenosis. The occurrence of a major adverse cardiac event (MACE) within 28 days was also investigated. Results: The study included 787 patients, of whom 458, 262, and 67 were included in the low-risk, intermediate-risk, and high-risk groups, respectively. A total of 118 cases of MACE occurred (average: 0.15 MACE/patient). MACE incidence was lower in the low-risk HEART score group than in the intermediate-risk and high-risk groups (0.4% vs. 22.1% and 86.6%, p < 0.001). The CAG results of the admitted patients with a low-risk HEART score were as follows: Grade I, 6.1%; Grade II, 3.0%; Grade III, 27.3%; and Grade IV, 63.6%. Conclusions: Patients with a low HEART score visiting the ED in Korea had a low risk in CAG results and a low probability of developing MACE. The successful utilization of the HEART score appears to be a rational approach that may avoid unnecessary testing in chest pain patients presenting to the ED.

Published
2020

41. A Machine Learning Based Determining the Effects of Air Pollution and Weather in Respiratory Disease Patients Visiting at Emergency Department Using a National Emergency Department Information System in Seoul, Korea

Author

Lee, Eu Sun, primary, Kim, Jung-Youn, additional, Yoon, Young-Hoon, additional, Kim, Seoung Bum, additional, Kahng, Hyungu, additional, Park, Jinhyeok, additional, Kim, Jaehoon, additional, Lee, Minjae, additional, Hwang, Haeun, additional, and Park, SungJoon, additional

Published
2020
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47. Clinician awareness of tetanus-diphtheria vaccination in trauma patients: a questionnaire study

Author

Yoon Young-Hoon, Moon Sung-Woo, Choi Sung-Hyuk, Cho Young-Duck, Kim Jung-Youn, and Kwak Young Ho

Subjects
Tetanus, Tetanus-diphtheria, Prophylaxis, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management. Methods Questionnaires were sent to the directors of the emergency departments of resident training hospitals certified by the Korean Society of Emergency Medicine. Results Two thirds of the emergency department directors surveyed reported applying tetanus prophylaxis guidelines to more than 80% of wounded patients. However, about 45% of clinicians in the emergency departments considered giving less than half of the wounded patient tetanus booster vaccinations, and there were no distinct differences in tetanus booster vaccination rates among different age groups. Most emergency physicians are familiar with tetanus prophylaxis guidelines for wound management. However, more than half of the emergency department directors reported that the major reason for not considering tetanus-diphtheria vaccination was due to assumptions that patients already had tetanus immunity. Conclusion Attitude changes should be encouraged among emergency physicians regarding tetanus prophylaxis. As emergency physicians are frequently confronted with patients that are at a high risk for tetanus infection in emergency situations, they need to be more informed regarding tetanus immunity epidemiology and encouraged to administer tetanus booster vaccines.

Published
2012
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