• J Emerg Med · Apr 2014

    Case Reports

    Double Simultaneous Defibrillators for Refractory Ventricular Fibrillation.

    • Benjamin W Leacock.
    • Emergency Physicians of St. Louis, St. Louis, Missouri.
    • J Emerg Med. 2014 Apr 1;46(4):472-4.

    BackgroundOut-of-hospital cardiac arrest is a leading cause of death in the United States. Ventricular fibrillation (VF) is the most common initial rhythm after cardiac arrest.ObjectiveTo describe a novel approach to the patient with intractable VF after cardiac arrest.Case ReportA 51-year old man presented in cardiac arrest after a ST-elevation myocardial infarction. He remained in VF despite receiving typical therapy including cardiopulmonary resuscitation, amiodarone, lidocaine, epinephrine, and five attempts at defibrillation with 200 J using a biphasic defibrillator. VF was eventually terminated with 400 J by the simultaneous use of two biphasic defibrillators. The patient had a full recovery.ConclusionWe present a case and supportive literature for a novel treatment of high-energy defibrillation in a patient with refractory VF.Copyright © 2014 Elsevier Inc. All rights reserved.

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