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Am J Emerg Med. 2017 Dec;35(12):1985.e3-1985.e4. doi: 10.1016/j.ajem.2017.09.009. Epub 2017 Sep 8.

Double sequential defibrillation for refractory ventricular fibrillation.

Author information

1
Department of Emergency Medicine, American University of Beirut - Medical Center, Lebanon.
2
Department of Emergency Medicine, American University of Beirut, Medical Center/Mt Sinai Hospital, Lebanon. Electronic address: basem.khishfe@sinai.org.

Abstract

A 54-year-old suffered from an out-of-hospital cardiac arrest. Compressions were started within minutes and the patient was in refractory ventricular fibrillation despite multiple asynchronized shocks and maximal doses of antiarrhythmic agents. Double sequential defibrillation was attempted with successful Return Of Spontaneous Circulation (ROSC) after a total of 61min of cardiac arrest. The patient was discharged home neurologically intact. Double sequential defibrillation could be a simple effective approach to patients with refractory ventricular fibrillation.

KEYWORDS:

Defibrillation; Double sequential; Refractory; Resuscitation; Ventricular fibrillation

PMID:
28978402
DOI:
10.1016/j.ajem.2017.09.009
[Indexed for MEDLINE]

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