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She was never seen to be in ventricular fibrillation and was never defibrillated. What is the utility of a head CT in cardiacarrest? We found intracranial hemorrhage in 2% of non-traumatic cardiacarrest patients, and in 4 others the presence of cerebral edema changed management. BP gradually rose.
She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. She was immediately intubated during continued compressions, then underwent a 9th defibrillation, which resulted in an organized rhythm at 42 minutes after initial arrest.
This ECG pattern may be diagnostic of B rugada S yndrome IF seen in association with: i ) a history of cardiacarrest; polymorphic VT; or of non-vagal syncope; and / or ii ) a positive family history of sudden death at an early age; and / or iii ) a similar ECG in relatives. Cardioversion/defibrillation. Acute febrile illness.
In addition to a spontaneous or induced Brugada-1 ECG pattern, criteria for B rugada S yndrome require one or more of the following: History of cardiacarrest, of polymorphoic VT, or of non-vagal syncope — positive family history of sudden death at an early age — a similar ECG in close relatives.
BackgroundBystander cardiopulmonary resuscitation (B‐CPR) and defibrillation for out‐of‐hospital cardiacarrest (OHCA) vary by sex, with women being less likely to receive these interventions in public. CARES collected 457 621 arrests (2013–2019); after appropriate exclusion, 309 662 were included.
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