ECG Cases

MAY 24, 2022

The post Ep 169 Cardiac Arrest Controversies – Chest Compressions, Dual Defibrillation, Medications and Airway appeared first on Emergency Medicine Cases.

Cardiac Arrest 52

Cardiac Arrest Defibrillator 52

Circulation

NOVEMBER 11, 2024

Background:Most out-of-hospital cardiac arrest (OHCA) patients who are initially treated with an automated external defibrillator (AED) and present in a non-shockable rhythm never receive a shock. The AEDs were the first defibrillator on scene either in home, in public access or by a BLS team.

Cardiac Arrest 45

Cardiac Arrest Defibrillator Hospital Heart Rhythm 45

DAIC

JANUARY 19, 2024

Particularly, his contributions to the sudden cardiac arrest medical knowledge base have changed the way we think about this deadly condition that we might be able to prevent on a larger scale.” Although “sudden cardiac arrest” and “heart attack” are often mistaken to be the same, the conditions are quite different.

Cardiac Arrest 105

Cardiac Arrest Heart Rhythm Electrophysiology Sudden Cardiac Death 105

Med Page Today

SEPTEMBER 10, 2024

(MedPage Today) -- Not all defibrillator pad positions may work equally well for patients with shockable out-of-hospital cardiac arrest. JAMA Network Open) Medical therapy for aortic stenosis? Early clinical data on evogliptin were disappointing.

Defibrillator 52

Defibrillator Cardiac Arrest Ablation Stenosis 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? After resuscitation and defibrillation , there were no more episodes of TdP. Below is the patient’s 12 lead ECG following defibrillation.

Cardiac Arrest 67

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 67

Frontiers in Cardiovascular Medicine

AUGUST 8, 2024

Out-of-hospital cardiac arrest (OHCA) mostly occurs in crowded public places outside hospitals, such as public sports facilities, airports, railway stations, subway stations, and shopping malls. ECMO support therapy for patients with cardiac arrest can be considered when economic conditions permit.

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Coronary Artery Bypass Graft Stenosis 52

Medical Xpress - Cardiology

JANUARY 2, 2024

Because athletes young and old can suffer cardiac arrest, some states have mandated the placement of automated external defibrillators (AEDs) in gyms, stadiums and other sports venues. But a new study finds the use of AEDs by bystanders for cardiac arrest at athletic sites didn't improve much after states enacted these laws.

Defibrillator 89

Defibrillator Cardiac Arrest 89

Medical Xpress - Cardiology

JANUARY 2, 2024

Because athletes young and old can suffer cardiac arrest, some states have mandated the placement of automated external defibrillators (AEDs) in gyms, stadiums and other sports venues. But a new study finds the use of AEDs by bystanders for cardiac arrest at athletic sites didn't improve much after states enacted these laws.

Defibrillator 86

Defibrillator Cardiac Arrest 86

Dr. Smith's ECG Blog

OCTOBER 18, 2023

Cardiac arrest was called and advanced life support was undertaken for this patient. The patient was given chest compressions while waiting for the cardiac arrest team to arrive. She spontaneously converted (Defibrillation was not performed). The morning before the cardiac arrest potassium was 4,3.mmol,

Cardiac Arrest 107

Cardiac Arrest Tachycardia Cardiomyopathy Bradycardia 107

Dr. Smith's ECG Blog

JUNE 27, 2024

A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. Do not disregard the initial 12 lead ECG after out-of-hospital cardiac arrest: It predicts angiographic culprit despite metabolic abnormalities.

Defibrillator 93

Defibrillator Cardiac Arrest STEMI Chest Pain 93

Med Page Today

JULY 30, 2024

(MedPage Today) -- The Jewel patch-wearable cardioverter-defibrillator delivered successful shocks for protection from sudden cardiac arrest, and people were highly compliant to wearing the water-resistant device. Journal of the American College.

Defibrillator 52

Defibrillator Cardiac Arrest 52

Journal of the American Heart Association

JANUARY 19, 2024

BackgroundPublic access defibrillation (PAD) programs have been implemented globally over the past decade. Although PAD can substantially increase the survival of cardiac arrest, PAD use remains low. Compared with the before‐run‐in group, the rate of successful automated external defibrillator acquisition was 13.5%

Cardiac Arrest 45

Cardiac Arrest Defibrillator Hospital Outcomes 45

Circulation

JANUARY 22, 2024

Every 10 years, the American Heart Association (AHA) Emergency Cardiovascular Care Committee establishes goals to improve survival from cardiac arrest. Circulation, Ahead of Print.

Cardiac Arrest 69

Cardiac Arrest COVID-19 Defibrillator Outcomes 69

HeartRhythm

APRIL 30, 2024

Bystander use of automated external defibrillators (AEDs) can improve survival from sudden cardiac arrest (SCA), but utilization remains extremely low, attributable in part to poor access. We hypothesized that AED placement and utilization can be facilitated by identifying SCA event high-density areas in the community.

Cardiac Arrest 40

Cardiac Arrest Defibrillator 40

HeartRhythm

APRIL 30, 2024

Hypertrophic cardiomyopathy (HCM) predisposes patients to cardiac arrest (CA). While established major risk factors may warrant the need for primary prevention by implantable cardioverter-defibrillator (ICD), it is unknown if specific electrocardiographic predictors increase the risk of CA.

Cardiac Arrest 40

Cardiac Arrest Cardiomyopathy Defibrillator Risk Factors 40

Circulation

NOVEMBER 11, 2024

Background:Out-of-hospital cardiac arrest (OHCA) cause significant patient morbidity and mortality. Double sequential external defibrillation (DSED) represents an alternative treatment for OHCA patients, but the use is currently reserved for patients in refractory ventricular fibrillation.

Defibrillator 40

Defibrillator BMI Cardiac Arrest Circulation 40

HeartRhythm

APRIL 30, 2024

Sudden cardiac arrest (SCA) is significantly less common in children compared to adults, but these events have devastating societal consequences.

Cardiac Arrest 40

Cardiac Arrest Defibrillator 40

HeartRhythm

APRIL 30, 2024

In part due to advances in guideline-directed medical therapy (GDMT) and availability of implantable cardioverter-defibrillators (ICDs), cardiac arrest (CA) rates among patients with heart Failure (HF) decreased in the early 2000s. Relatively little is known about trends in CA associated with HF over the past decade.

Cardiac Arrest 40

Cardiac Arrest Heart Failure Defibrillator 40

HeartRhythm

APRIL 30, 2024

We have recently reported that chronic kidney disease (CKD) is associated with higher likelihood of sudden cardiac arrest (SCA) presenting with non-shockable rhythms (NSR) (pulseless electrical activity/asystole), as opposed to shockable rhythms (ventricular fibrillation/pulseless ventricular tachycardia).

Cardiac Arrest 40

Cardiac Arrest Kidney Disease Defibrillator Tachycardia 40

Dr. Smith's ECG Blog

JULY 25, 2024

He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. But cardiac arrest is a period of near zero flow in the coronary arteries and causes SEVERE ischemia. After cardiac arrest, I ALWAYS wait 15 minutes after an ECG like this and record another. They started CPR.

Cardiac Arrest 113

Cardiac Arrest Ischemia Tachycardia Defibrillator 113

Circulation

NOVEMBER 11, 2024

Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of sudden cardiac death. This case highlights such a scenario.Case:A 75-year-old female with a history of cardiac arrest 30 years ago presented with shortness of breath and left leg swelling.

Defibrillator 40

Defibrillator Cardiac Arrest Sudden Cardiac Death Coronary Angiogram 40

ECG Cases

JANUARY 29, 2019

In this CritCases blog Michael Misch takes us through a case of accidental hypothermia and cardiac arrest, reviewing the controversies in management as well as the guidelines for rewarming, the role of ECMO and the alterations to ACLS cardiac arrest medications, CPR and defibrillations.

Cardiac Arrest 52

Cardiac Arrest Defibrillator Blog 52

Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Background Evidence of the association between AMplitude Spectral Area (AMSA) of ventricular fibrillation and outcome after out-of-hospital cardiac arrest (OHCA) is limited to short-term follow-up. We included all cases of OHCAs with at least one manual defibrillation.

Cardiac Arrest 64

Cardiac Arrest Hospital Defibrillator Electrocardiogram 64

HeartRhythm

JULY 3, 2024

A 50-year-old woman with dextrocardia and D-transposition of the great arteries presented with a “RV defib lead impedance” remote-monitoring alert from her implantable cardioverter defibrillator (ICD). In 2012, she had a ventricular fibrillation cardiac arrest. An epicardial pacemaker was implanted.

Defibrillator 40

Defibrillator Cardiac Arrest Pacemaker Stents 40

Dr. Smith's ECG Blog

JULY 9, 2024

Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. His family started CPR and called EMS, who arrived to find him in ventricular fibrillation.

Defibrillator 105

Defibrillator STEMI Cardiac Arrest Cardiogenic Shock 105

Journal of the American Heart Association

FEBRUARY 13, 2024

BackgroundPatients with out‐of‐hospital cardiac arrest (OHCA) in rural areas experience longer emergency response times and have lower survival rates compared with patients in urban areas. Bystander defibrillation was more common in suburban areas (OR, 1.53 [95% CI, 1.02–2.31]), 3.53]) and suburban areas (OR, 2.05 [95% CI, 1.56–2.69])

Cardiac Arrest 40

Cardiac Arrest Hospital Defibrillator Outcomes 40

HeartRhythm

APRIL 30, 2024

Therapy with implantable cardioverter-defibrillators (ICD) for secondary prevention after cardiac arrest with shockable rhythm in the absence of a reversible cause has a Class I recommendation in US guidelines. Contemporary rates of ICD use in this population are not well described.

Defibrillator 40

Defibrillator Cardiac Arrest 40

Heart 2023 Conference

JULY 11, 2023

Using automated external defibrillators (AEDs) and cardiopulmonary resuscitation (CPR) as soon as possible increases a person's chance of surviving a cardiac arrest. After meeting the exclusion criteria, more than 9,500 cases of out-of-hospital cardiac arrest were included in the study cohort. versus 4.6%

Defibrillator 52

Defibrillator Cardiac Arrest Heart Failure RN 52

Dr. Smith's ECG Blog

JUNE 9, 2024

This is obviously severe hyperkalemia and the patient is near cardiac arrest. There was no IV access, so we obtained intraosseous (IO) access, but she arrested before we could give her all the calcium. Hyperkalemia and Cardiac Arrest Could you have prevented this young man's cardiac arrest?

Cardiac Arrest 131

Cardiac Arrest Defibrillator Cardiac Function Tachycardia 131

Open Heart

JULY 5, 2022

Automated external defibrillators (AEDs) and implantable cardioverter defibrillators (ICDs) are used to treat life-threatening arrhythmias. AEDs and ICDs use shock advice algorithms to classify ECG tracings as shockable or non-shockable rhythms in clinical practice.

Defibrillator 52

Defibrillator Cardiac Arrest Technology Arrhythmia 52

Circulation

NOVEMBER 11, 2024

Background:In out-of-hospital cardiac arrest (OHCA) patients with an initial shockable rhythm, epinephrine increases the likelihood of return of spontaneous circulation (ROSC), but its effect on neurological outcome remains uncertain. Circulation, Volume 150, Issue Suppl_1 , Page A4137905-A4137905, November 12, 2024.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Pharmacology 40

Heart BMJ

JANUARY 10, 2024

Objective The early use of automated external defibrillators (AEDs) improves outcomes in out-of-hospital cardiac arrest (OHCA). We investigated AED access across Great Britain (GB) according to socioeconomic deprivation.

Defibrillator 52

Defibrillator Cardiac Arrest Outcomes Hospital 52

Heart BMJ

JANUARY 10, 2024

Sudden cardiac death is one of the main causes of mortality in patients with known or occult cardiac disease and is potentially preventable by early resuscitation. 1 Underuse of AEDs is a multifaceted problem with the number of available devices in a given distance to a person with out-of-hospital cardiac arrest (OHCA).

Defibrillator 40

Defibrillator Sudden Cardiac Death Cardiac Arrest Arrhythmia 40

Circulation: Arrhythmia and Electrophysiology

JANUARY 29, 2024

BACKGROUND:There is no specific treatment for sudden cardiac arrest (SCA) manifesting as pulseless electric activity (PEA) and survival rates are low; unlike ventricular fibrillation (VF), which is treatable by defibrillation. Circulation: Arrhythmia and Electrophysiology, Ahead of Print.

Cardiac Arrest 40

Cardiac Arrest Chest Pain Coronary Artery Disease Electrophysiology 40

Med Page Today

JANUARY 2, 2024

(MedPage Today) -- Even in states with laws requiring athletic facilities to have an on-site automated external defibrillator (AED), the odds of bystander AED use for cardiac arrests remain low. JAMA Internal Medicine) A quadriceps strength test.

Cardiac Arrest 52

Cardiac Arrest Defibrillator 52

Dr. Smith's ECG Blog

APRIL 2, 2024

He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED. There was no bystander CPR. The QRS is extremely wide.

Tachycardia 130

Tachycardia Pacemaker Cardiac Arrest Cardiomyopathy 130

Dr. Smith's ECG Blog

APRIL 6, 2018

Written by Pendell Meyers, with edits by Steve Smith Thanks to my attending Nic Thompson who superbly led this resuscitation We received a call that a middle aged male in cardiac arrest was 5 minutes out. There were two monitor spikes for every one electrical cycle on the cardiac monitor. Learning Points: 1.

Cardiac Arrest 52

Cardiac Arrest Tachycardia Defibrillator ICU 52