Benjamin W Leacock1. 1. Emergency Physicians of St. Louis, St. Louis, Missouri.
Abstract
BACKGROUND: Out-of-hospital cardiac arrest is a leading cause of death in the United States. Ventricular fibrillation (VF) is the most common initial rhythm after cardiac arrest. OBJECTIVE: To describe a novel approach to the patient with intractable VF after cardiac arrest. CASE REPORT: A 51-year old man presented in cardiac arrest after a ST-elevation myocardial infarction. He remained in VF despite receiving typical therapy including cardiopulmonary resuscitation, amiodarone, lidocaine, epinephrine, and five attempts at defibrillation with 200 J using a biphasic defibrillator. VF was eventually terminated with 400 J by the simultaneous use of two biphasic defibrillators. The patient had a full recovery. CONCLUSION: We present a case and supportive literature for a novel treatment of high-energy defibrillation in a patient with refractory VF.
BACKGROUND: Out-of-hospital cardiac arrest is a leading cause of death in the United States. Ventricular fibrillation (VF) is the most common initial rhythm after cardiac arrest. OBJECTIVE: To describe a novel approach to the patient with intractable VF after cardiac arrest. CASE REPORT: A 51-year old man presented in cardiac arrest after a ST-elevation myocardial infarction. He remained in VF despite receiving typical therapy including cardiopulmonary resuscitation, amiodarone, lidocaine, epinephrine, and five attempts at defibrillation with 200 J using a biphasic defibrillator. VF was eventually terminated with 400 J by the simultaneous use of two biphasic defibrillators. The patient had a full recovery. CONCLUSION: We present a case and supportive literature for a novel treatment of high-energy defibrillation in a patient with refractory VF.
Authors: Hee Eun Kim; Kui Ja Lee; You Hwan Jo; Jae Hyuk Lee; Yu Jin Kim; Joong Hee Kim; Dong Keon Lee; Dong Won Kim; Seung Min Park; Young Taeck Oh Journal: Emerg Med Int Date: 2020-05-27 Impact factor: 1.112