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Am J Emerg Med. 2018 Aug;36(8):1474-1479. doi: 10.1016/j.ajem.2018.04.060. Epub 2018 Apr 30.

Dual defibrillation in patients with refractory ventricular fibrillation.

Author information

1
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
2
St. George Hospital University Medical Center, University of Balamand Faculty of Medicine and Medical Sciences, Beirut, Lebanon.
3
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address: ga66@aub.edu.lb.

Abstract

In the setting of cardiac arrest, refractory ventricular fibrillation (VF) is difficult to manage, and mortality rates are high. Double sequential defibrillation (DSD) has been described in the literature as a successful means to terminate this malignant rhythm, after failure of traditional Advanced Cardiac Life Support (ACLS) measures. The authors herein present a case of refractory VF in a patient with cardiac arrest, on whom DSD was successful in reversion to sinus rhythm, and provide a thorough review of similar cases in the literature.

KEYWORDS:

Cardiac arrest; Electric counter shock; Emergency medical services; Ventricular fibrillation

PMID:
29730094
DOI:
10.1016/j.ajem.2018.04.060
[Indexed for MEDLINE]

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