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Double Sequential Defibrillation for Refractory Ventricular Fibrillation: A Case Report.
- Source :
-
Prehospital emergency care [Prehosp Emerg Care] 2015; Vol. 19 (4), pp. 554-7. Date of Electronic Publication: 2015 May 13. - Publication Year :
- 2015
-
Abstract
- A 40-year-old male struck his chest against a pole during a basketball game and had sudden out-of-hospital cardiac arrest. After bystander cardiopulmonary resuscitation, fire and emergency medical services personnel provided six defibrillation attempts prior to emergency department arrival. A 7th attempt in the emergency department using a different vector was unsuccessful. On the 8th attempt, using a second defibrillator with defibrillator pads placed adjacent to the primary set of defibrillator pads, two shocks were administered in near simultaneous fashion. The double sequential defibrillation was successful and the patient had return of spontaneous circulation at the next pulse check. He recovered in the intensive care unit, was discharged home 1 month later, and continues to follow up in clinic over 1 year later with a Cerebral Performance Category score of 1 (short-term memory deficits).
- Subjects :
- Adult
Cardiopulmonary Resuscitation methods
Electrocardiography methods
Emergency Service, Hospital
Humans
Intensive Care Units
Length of Stay
Male
Monitoring, Physiologic methods
Out-of-Hospital Cardiac Arrest complications
Out-of-Hospital Cardiac Arrest diagnosis
Prognosis
Retreatment methods
Risk Assessment
Time Factors
Treatment Outcome
Ventricular Fibrillation diagnosis
Ventricular Fibrillation etiology
Electric Countershock methods
Electric Countershock statistics & numerical data
Emergency Medical Services methods
Out-of-Hospital Cardiac Arrest therapy
Ventricular Fibrillation therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1545-0066
- Volume :
- 19
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Prehospital emergency care
- Publication Type :
- Academic Journal
- Accession number :
- 25970000
- Full Text :
- https://doi.org/10.3109/10903127.2015.1025155