Double Sequential Defibrillation for Refractory Ventricular Fibrillation: A Case Report. Prehosp Emerg Care 2015;19(4):554-7
Date
05/15/2015Pubmed ID
25970000DOI
10.3109/10903127.2015.1025155Scopus ID
2-s2.0-84941418825 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
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).
Author List
Lybeck AM, Moy HP, Tan DKMESH terms used to index this publication - Major topics in bold
AdultCardiopulmonary Resuscitation
Electric Countershock
Electrocardiography
Emergency Medical Services
Emergency Service, Hospital
Humans
Intensive Care Units
Length of Stay
Male
Monitoring, Physiologic
Out-of-Hospital Cardiac Arrest
Prognosis
Retreatment
Risk Assessment
Time Factors
Treatment Outcome
Ventricular Fibrillation
