Prolonged Resuscitation with Multiple Defibrillations; a Case Report
Archives of Academic Emergency Medicine,
Vol. 10 No. 1 (2022),
Although American Heart Association Guidelines (AHA) are practical and standardized in many aspects of cardiopulmonary resuscitation (CPR) performance, recommendations on when to terminate resuscitation are not fully understood and clear. There is not enough evidence about how long we can continue CPR in shockable rhythms and how many shocks can be delivered to patients, and if there is an end point for it or not. This issue is more challenging when we read papers published on survival rates and good functional and neurological outcomes after prolonged CPRs. Here, we demonstrate a case of cardiac arrest receiving CPR in the emergency room, for whom it was hard and challenging to make a decision on when to terminate the resuscitation attempts.
- Cardiopulmonary Resuscitation
- Electric Countershock
- Heart Arrest
How to Cite
Barker J, Koeckerling D, West R. A need for prone position CPR guidance for intubated and non-intubated patients during the COVID-19 pandemic. Resuscitation. 2020;151:135-6.
Nolan JP, Monsieurs KG, Bossaert L, Bottiger BW, Greif R, Lott C, et al. European Resuscitation Council COVID-19 guidelines executive summary. Resuscitation. 2020;153:45-55.
Costa I, Bittar CS, Rizk SI, Araujo Filho AE, Santos KAQ, Machado TIV, et al. The Heart and COVID-19: What Cardiologists Need to Know. Arq Bras Cardiol. 2020;114(5):805-16.
Kramer DB, Lo B, Dickert NW. CPR in the Covid-19 Era - An Ethical Framework. N Engl J Med. 2020;383(2):e6.
Taha HS, Shaker MM, Abdelghany MM. Cardiopulmonary resuscitation during the COVID-19 pandemic: a scientific statement on CPR management protocol of Kasr Al-Ainy University Hospital is presented. Egypt Heart J. 2020;72(1):73.
Hwang CW, Gamble G, Marchick M, Becker TK. A case of refractory ventricular fibrillation successfully treated with low-dose esmolol. BMJ Case Rep. 2019;12(3): e228208.
Herlitz J EJ, Svensson L, Young M, Angquist KA, Holmberg S. Decrease in the occurrence of ventricular fibrillation as the initially observed arrhythmia after out-of-hospital cardiac arrest during 11 years in Sweden. Resuscitation. 2004;3(60):283-90.
- Abstract Viewed: 143 times
- pdf Downloaded: 69 times