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CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. References: 1. His family has been performing bystander, and report that he suddenly collapsed just a few minutes ago.
Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. Let’s also not forget that these patients still require ventilation and they still require defibrillation! Start an IV and give epinephrine? References Levy M, Yost D, Walker RG, Scheunemann E, Mendive SR.
Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. Problem What is the best defibrillation strategy to treat refractory ventricular fibrillation? 7 In attempts to improve survival of this devastating condition, investigators have reported alternative defibrillation techniques.
Resuscitated with chest compressions, epinephrine. including epinephrine, and there was ROSC. Today's patient unfortunately developed PEA ( P ulseless E lectrical A ctivity ) arrest shortly after arrival of the medic team. Not a shockable rhythm. They laid her on the floor and called 911. Shortly thereafter, pulses were lost.
EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. Figure 1: The EMS rhythm strip. Type 3 is indicated by J point and ST elevation < 1 mm.
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