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CASE REPORTS
JOURNAL ARTICLE
Double simultaneous defibrillators for refractory ventricular fibrillation.
Journal of Emergency Medicine 2014 April
BACKGROUND: Out-of-hospital cardiac arrest is a leading cause of death in the United States. Ventricular fibrillation (VF) is the most common initial rhythm after cardiac arrest.
OBJECTIVE: To describe a novel approach to the patient with intractable VF after cardiac arrest.
CASE REPORT: A 51-year old man presented in cardiac arrest after a ST-elevation myocardial infarction. He remained in VF despite receiving typical therapy including cardiopulmonary resuscitation, amiodarone, lidocaine, epinephrine, and five attempts at defibrillation with 200 J using a biphasic defibrillator. VF was eventually terminated with 400 J by the simultaneous use of two biphasic defibrillators. The patient had a full recovery.
CONCLUSION: We present a case and supportive literature for a novel treatment of high-energy defibrillation in a patient with refractory VF.
OBJECTIVE: To describe a novel approach to the patient with intractable VF after cardiac arrest.
CASE REPORT: A 51-year old man presented in cardiac arrest after a ST-elevation myocardial infarction. He remained in VF despite receiving typical therapy including cardiopulmonary resuscitation, amiodarone, lidocaine, epinephrine, and five attempts at defibrillation with 200 J using a biphasic defibrillator. VF was eventually terminated with 400 J by the simultaneous use of two biphasic defibrillators. The patient had a full recovery.
CONCLUSION: We present a case and supportive literature for a novel treatment of high-energy defibrillation in a patient with refractory VF.
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