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SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

The Skeptics' Guide to EM

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. first appeared on The Skeptics Guide to Emergency Medicine. Date: February 7, 2023 Reference: Cheskes et al.

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

Dr. Smith's ECG Blog

ECMO Flow was achieved after approximately 1 hour of high quality CPR. In this case, profound shock for 1 hour would result in the same degree of infarction. The Type 2 MI would then have been a result of the prolonged severe shock while in arrest. After good ECMO flow was established, she was successfully defibrillated.

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Top 10 Reasons to Choose the Philips HeartStart OnSite AED M5066A

AED Leader

The HeartStart OnSite AED boasts a quick start-up time and delivers a shock within eight seconds if it detects a shockable rhythm. Smart CPR Guidance Cardiopulmonary resuscitation (CPR) is a critical component of saving a life during a cardiac arrest.

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Best deals on AED defibrillators for sale

AED Leader

Key takeaways AEDs, like the Philips HeartStart OnSite and ZOLL AED Plus, help save lives during sudden cardiac arrest by checking the heart’s rhythm and delivering a shock if needed. Models designed for home or public spaces have different features like durability and automatic shocks. They are easy for anyone to use.

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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

But, they may present postnatally with cyanosis/hypoxaemia due to insufficient pulmonary blood flow, cardiogenic shock due to insufficient systemic blood flow, or both. The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. 2017;51(1):50-57.

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AEDs for Sale: Must-Have Features and How to Find Them

AED Leader

An AED is a portable device that delivers an electric shock to the heart to restore its normal rhythm. Research AED Brands : Visit our website, AED Leader, to explore the wide range of AED brands and models available. Q: What should I do if the AED does not deliver a shock? This is where an AED comes into play.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF).

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