• BMJ case reports · Jan 2013

    Case Reports

    Value of an automatic external defibrillator printout as a diagnostic tool after successful AED use on a child.

    • S J van Sambeeck, R van Gent, C Schroër, and F J J Halbertsma.
    • Department of Paediatrics, Maastricht University Medical Center, Maastricht, The Netherlands. vansambeeck@gmail.com
    • BMJ Case Rep. 2013 Jan 1; 2013.

    AbstractA 6-year-old girl without any medical history experienced a drowning incident for a duration of 2 min, according to witnesses. This was followed by cardiopulmonary resuscitation, during which the automatic external defibrillator (AED) detected a shockable rhythm and subsequently delivered a single electroshock. At the time of admission, her medical history was unclear, and as her chest had been wet, it was not clear if the AED had been capable of correctly analysing the rhythm. The AED printout, however, revealed ventricular fibrillation (VF), which proved to be a primary cardiac cause at the time of the incident. This case report confirms the assumption that the AED can adequately perform rhythm analysis on children and convert VF into sinus rhythm. Moreover, the AED printout can provide information about the rhythm that is necessary for the diagnosis of an underlying cardiac disease.

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