Apparent asystole: are we missing a lifesaving opportunity?

BMJ Case Reports
Christopher Limb, Muhammad A Siddiqui

Abstract

The use of ultrasonography is rapidly expanding in emergency medicine. Real-time assessment offers clues to prompt diagnosis and creates opportunities for speedy intervention. We present a case of 'cardiac monitor asystole' that proved to be ventricular fibrillation on ultrasound examination. Uniquely this case demonstrates that this, typically unrecognised, form of ventricular fibrillation responds to desynchronised defibrillation, with restoration of perfusion for approximately 30 min. With increasing access to ultrasound we believe that further research is indicated to determine whether some cases of apparent asystole may best be treated by defibrillation, presenting an opportunity to save more lives than current protocols achieve.

References

Jan 1, 1985·Annals of Internal Medicine·W D WeaverM K Copass
Sep 1, 1984·Annals of Emergency Medicine·B M ThompsonJ R Mateer
Feb 26, 1999·Annals of Emergency Medicine·S C Amaya, A Langsam
Jun 2, 2005·Current Opinion in Critical Care·Clifton W Callaway, James J Menegazzi
Apr 21, 2007·Critical Care Medicine·John L KendallR Stephen Smith
Jun 7, 2008·The American Journal of Emergency Medicine·John A Stewart
Jan 24, 2009·Emergency Medicine Journal : EMJ·J WrightP Dissmann
Sep 10, 2010·The American Journal of Emergency Medicine·Giovanni Volpicelli
Oct 6, 2010·Emergency Medicine Journal : EMJ·C HayhurstD Lewis
Nov 30, 2010·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Arthur J LabovitzKevin Wei
Oct 9, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lacey BlythEddy Lang

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Citations

Nov 18, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Damon R KuehlKeith E Kocher

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