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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.56 (2010) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/273
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| タイトル: | Survival of a refractory ventricular fibrillation by cooperative treatments |
| その他のタイトル: | Chain of survival by helicopter |
| 著者: | Tase, Choichiro
Ohno, Yuko
Hasegawa, Arifumi
Tsukada, Yasuhiko
Shimada, Jiro
Ikegami, Yukihiro
Sakamoto, Nobuo
Takeishi, Yasuchika |
| 学内所属: | 救命救急センター
救急医療学講座
循環器・血液内科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 56 |
| 号: | 2 |
| 開始ページ: | 139 |
| 終了ページ: | 143 |
| 発行日: | 2010年12月 |
| 抄録: | In the case of acute myocardial infarction (AMI), prompt and appropriate initial treatment is essential for increasing the rate of survival and early reperfusion is a main determinant factor for long-term prognosis. The survival of a patient with refractory ventricular fibrillation was made possible by cooperative emergency medical care including air medical transport, despite long distance to the hospital. The patient was a 60-year-old man. Under a diagnosis of AMI, a helicopter emergency medical service (HEMS) with medical staff on board was requested. Although ventricular fibrillation (VF) occurred at the scene, quick and appropriate advanced cardiovascular life support (ACLS) was provided by the attending doctor, leading to the return of heartbeat. Since the patient still exhibited serious bradycardia and cardiac failure, he was airlifted while undergoing transcutaneous pacing. Upon arrival at the hospital, the patient underwent emergency percutaneous coronary intervention (PCI). During the PCI, VF recurred and chest compressions and a total of 17 defibrillations were performed. The PCI was continued with percutaneous cardiopulmonary support (PCPS). The patient survived without sequelae. Smoother cooperation between pre-hospital medical procedures and post-hospital emergency care is considered to be essential for the survival of patients such as this case. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/273 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/273/1/FksmJMedSci_56_p139.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.56.139 |
| PubMed番号: | 21502715 |
| 異版(出版者版等): | http://dx.doi.org/10.5387/fms.56.139 |
| 権利情報: | © 2010 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.56 (2010)
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