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Written by Pendell Meyers A man in his 50s was found by his family in cardiacarrest of unknown duration. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. Meyers and Smith in the October 15, 2022 post of Dr. Smith's ECG Blog ). 15, 2022 post).
He developed cardiacarrest shortly after the ECG in Figure-1 was recorded. As reviewed by Almarzuqi et al ( Vasc Health Risk Mgmt 18:397-406, 2022 ) — Potential Causes of Bidirectional VT include: Digitalis toxicity. C ASE C onclusion: As noted above — today's patient developed cardiacarrest shortly after arrival in the ED.
BackgroundDespite the wellknown importance of witnessed arrest and bystander cardiopulmonary resuscitation (CPR) for outofhospital cardiacarrest outcomes, previous studies have shown significant statistical inconsistencies. The outcome measure was prehospital return of spontaneous circulation (ROSC).
He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated with both with only a fraction of one second separating each defibrillation.
It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. He had multiple cardiacarrests with ROSC regained each time. This patient arrested shortly after hospital arrival. As a result — the history will often be limited to what was known prior to the arrest.
This false electrical capture may have made cardiacarrest recognition difficult, and the re-arrest may have gone unrecognized for an unknown amount of time. As this case shows, electrical capture isn't always possible at lower currents, especially with pads placed in a standard anterolateral "defibrillation" position.
Although one may have all kinds of ischemic findings as a result of cardiacarrest (rather than cause of cardiacarrest), this degree of ST elevation and HATW is all but diagnostic of acute proximal LAD occlusion. The April 8, 2022 post by Drs. This prompted cath lab activation.
Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiacarrest with return of spontaneous circulation. She was successfully revived after several rounds of ACLS including defibrillation and amiodarone.
Introduction Sudden cardiacarrest is a major cause of morbidity and mortality worldwide and remains a major public health problem for which better non-invasive prediction tools are needed. Primary preventive therapies, such as implantable cardioverter defibrillators, are not personalized and not predictive.
He required multiple defibrillations within a period of a few hours. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. Some episodes of PMVT would terminate spontaneously — but on many occasions, the PMVT degenerated to VFib, requiring defibrillation.
CASTLE-AF randomized 363 patients with atrial fibrillation and left ventricular ejection fraction of 35% or less, NYHA class II-IV heart failure and having an implanted defibrillator to either catheter ablation or medical therapy with rate or rhythm control [5]. 2022 Nov 22;146(21):1561-1563. Epub 2022 Nov 21. N Engl J Med.
The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Perhaps the bifascicular block ( RBBB/LPHB ) present on ECG #1 — but which resolved by ECG #2 — was also ischemic-related from the cardiacarrest.
She was defibrillated and resuscitated. It is apparently fortunate that she had a cardiacarrest; otherwise, her ECG would have been ignored. Then she began complaining of severe dizziness and quickly went into ventricular fibrillation and resuscitation was initiated by hospital staff.
Getty Images milla1cf Tue, 01/30/2024 - 19:57 January 30, 2024 — Only 10% of people who experience a cardiacarrest survive. [1] Currently, 90% of people who experience cardiacarrest outside of a hospital die, in part because they do not receive CPR more than half of the time. [2]
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