No bystander CPR was performed because the dispatcher did not recognize the cardiac arrest. of IRB SCHBC_IRB_5) 2 Case report 2.1 Case 1Ī 31-year-old man without any medical history was transported to the ED by ambulance due to breathing difficulties and drowsy mentality. IRB is organized and operates accordiong to ICH-GCP and applicable laws and regulations. ![]() IRB (Soonchunhyang University Bucheon Hospital Institutional Review Board) has exempt the patient's consent for publication. Recently we experienced 3 cases RVF which was successfully terminated with DSD in our emergency department (ED), so we’d like to report and discuss it. In this situation, the application of Double Sequential Defibrillation (DSD) can be considered. Refractory ventricular fibrillation (RVF) is defined as VF that is resistant to at least three defibrillation attempts, 300 mg of amiodarone, and does not exhibit return of spontaneous circulation (ROSC) after 10 minutes of cardiopulmonary resuscitation (CPR). Therefore it is suggested that attempts of DSD to patients with RVF, especially in the prehospital stages as a way to improve the return of spontaneous circulation.ĭefibrillation is effective and the most common treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia in patients with cardiac arrest. The three cases we have shown are small, but DSD improves the chance of spontaneous circulation. Outcomes:Īll three RVF patients recovered spontaneous circulation after DSD. The 400J DSD was performed on RVF patients with sustained VFs, despite several trials of 150-200J defibrillation and adherence to advanced cardiac life support. At the same time, intubation and intravenous access were achieved and epinephrine and amiodarone were administered. Diagnosis:Ī single defibrillation 200J was performed twice for patients with ventricular fibrillation in the initial rhythm of the emergency room. Recently we experienced 3 cases refractory ventricular fibrillation (RVF) which was successfully terminated with double sequence defibrillation (DSD) in our emergency department, so we’d like to report and discuss it. ![]() ĭefibrillation is effective and the most common treatment for ventricular fibrillation (VF) and pulseless ventricular tachycardia in patients with cardiac arrest. ![]() This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The authors have no conflicts of interest to disclose.Īll data generated or described during this study are included in this article.Īll data generated or analyzed during this study are included in this published article. This work was supported by the Soonchunhyang University Research Fund. Successful defibrillation using double sequence defibrillation: case reports. How to cite this article: Choi HJ, Noh H. ∗Correspondence: Hyun Noh, Department of Emergency Medicine, College of Medicine, Soonchunhyang University Bucheon Hospital, 170, Jomaru-ro, Bucheon-si, Gyeonggi-do, KR (e-mail: ).Ībbreviations: AHA = American Heart Association, CPC = Cerebral Performance Category, DSD = double sequential defibrillation, ECG = electrocardiogram, ED = emergency department, ICU = intensive care unit, ROSC = return of spontaneous circulation, RVF = refractory ventricular fibrillation, VF = ventricular fibrillation. 70, Asan-si, Chungcheongnam-doīDepartment of Emergency Medicine, College of Medicine, Soonchunhyang University Bucheon Hospital, 170, Jomaru-ro, Bucheon-si, Gyeonggi-do, KR. ADepartment of Emergency Medical Technology, Sun Moon University.
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