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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Tips for use of dual sequence defibrillation 11 : Use the same model of defibrillator.

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Resuscitated from ventricular fibrillation. Should the cath lab be activated?

Dr. Smith's ECG Blog

He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. The patient was brought to the ED and had this ECG recorded: What do you think? See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. After 1 mg of epinephrine they achieved ROSC.

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1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

She was unable to be defibrillated but was cannulated and placed on ECMO in our Emergency Department (ECLS - extracorporeal life support). After good ECMO flow was established, she was successfully defibrillated. Here is a case of ECMO defibrillation with near shark fin that was due to proximal LAD occlusion. The K was normal.

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50 yo with V fib has ROSC, then these 2 successive ECGs: what is the infarct artery?

Dr. Smith's ECG Blog

On arrival to the ED, this ECG was recorded: What do you think? Although one may have all kinds of ischemic findings as a result of cardiac arrest (rather than cause of cardiac arrest), this degree of ST elevation and HATW is all but diagnostic of acute proximal LAD occlusion. This prompted cath lab activation. The April 8, 2022 post by Drs.

STEMI 109
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What Lies Beneath

EMS 12-Lead

They are not premature, by definition. We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG. Chou’s Electrocardiography in Clinical Practice (6th ed). The green arrows, however, do show premature complexes. Question 2: What explains the conduction abnormalities? Surawicz, B.

E-9-1-1 130
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Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Dr. Smith's ECG Blog

She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. She arrived in the ED 37 minutes after 911 was called, with continuing CPR. She arrived in the ED 37 minutes after 911 was called, with continuing CPR. at the time of the ECG.

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

She was successfully revived after several rounds of ACLS including defibrillation and amiodarone. On arrival to the ED the patient was intubated with normal vital signs. E lectrical A lternans : Definition/Features/Mechanisms Electrical alternans — is a beat-to-beat variation in any one or more parts of the ECG recording.

ICU 130