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Vol.56 (2010) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/273

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Title: Survival of a refractory ventricular fibrillation by cooperative treatments
Other Titles: Chain of survival by helicopter
Authors: Tase, Choichiro
Ohno, Yuko
Hasegawa, Arifumi
Tsukada, Yasuhiko
Shimada, Jiro
Ikegami, Yukihiro
Sakamoto, Nobuo
Takeishi, Yasuchika
Affiliation: 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
Source title: Fukushima Journal of Medical Science
Volume: 56
Issue: 2
Start page: 139
End page: 143
Issue Date: Dec-2010
Abstract: 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.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/273
Full text 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 ID: 21502715
Other version: http://dx.doi.org/10.5387/fms.56.139
Rights: © 2010 The Fukushima Society of Medical Science
Appears in Collections:Vol.56 (2010)

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FksmJMedSci_56_p139.pdf1.62 MBAdobe PDFDownload

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