• Am J Emerg Med · Jan 2023

    Case Reports

    Keep shocking: A case report of double sequential defibrillation for refractory ventricular fibrillation.

    • Ahmed Kamal Mohamed, Mohamed Shakaib Nayaz, Ali Nawaz, and Carl B Kapadia.
    • Emergency Department, NMC Royal Hospital Khalifa City, Abu Dhabi, United Arab Emirates. Electronic address: ahmed.kamal.ed33@gmail.com.
    • Am J Emerg Med. 2023 Jan 1; 63: 178.e5178.e6178.e5-178.e6.

    AbstractDouble sequential defibrillation is proposed as a novel modality of managing refractory ventricular fibrillation (VF). However, existing evidence has not been enough to support this. Here, we report an interesting case of a 54-year-old male who suffered from cardiac arrest with VF rhythm. The patient did not respond to 11 consecutive shocks along with antiarrhythmic medications. However, double sequential defibrillation terminated the VF. He had another episode of VF unresponsive to thirty minutes of standard defibrillation on his way to the catheterization laboratory. Again, the VF was terminated by double sequential defibrillation. Five days later, the patient was discharged home without neurological sequels.Copyright © 2022 Elsevier Inc. All rights reserved.

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