PMID: 11334686May 4, 2001Paper

Patient outcomes following defibrillation with a low energy biphasic truncated exponential waveform in out-of-hospital cardiac arrest

Resuscitation
R D WhiteE J Atkinson

Abstract

To determine the outcome of patients with out-of-hospital cardiac arrest and ventricular fibrillation as the presenting rhythm while using automated external defibrillators (AEDs) that delivered non-escalating, impedance-compensated low-energy (150 J) shocks. AEDs delivering low-energy biphasic truncated exponential (BTE) shocks were employed in an emergency medical services (EMS) system in which first-arriving personnel - police, firefighters or paramedics - delivered the initial shocks. Patients were classified according to their response to shocks: restoration of sustained spontaneous circulation (ROSC) without need for epinephrine and other advanced life support (ALS) interventions; and ALS, those requiring epinephrine in all instances. The primary end-point was neurologically-intact discharge survival. Secondary end-points were ROSC with shocks only and the call-to-shock time interval. Of 42 patients with VF arrest treated with BTE shocks, 35 were bystander-witnessed. Of these 35, 14 (38%) regained a sustained ROSC on-scene with shocks only, needing no epinephrine for ROSC. All 14 survived to discharge home. Of the remaining 21 patients needing ALS intervention, only two (9.5%) survived to discharge. Overall, 16/35 patient...Continue Reading

References

Sep 14, 1999·Journal of the American College of Cardiology·W TangJ Bisera
Sep 18, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D C ConeT A Brabson
Jan 29, 2000·Annals of Emergency Medicine·E Isaacs, M L Callaham

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Citations

Apr 2, 2005·Zeitschrift für Kardiologie·H-J TrappeUNKNOWN Stellungnahme der Deutschen Gesellschaft für Kardiologie-- Herz- und Kreislaufforschung (DGK)
Jul 6, 2005·Herzschrittmachertherapie & Elektrophysiologie·H-J TrappeUNKNOWN Deutschen Gesellschaft für Kardiologie- Herz- und Kreislaufforschung
Jul 6, 2005·Herzschrittmachertherapie & Elektrophysiologie·H-J Trappe
May 16, 2002·Resuscitation·Laurence D PrinaElizabeth J Atkinson
Jul 10, 2002·Resuscitation·Vincent N MosessoUNKNOWN National Center for Early Defibrillation Police AED Issues Forum
Nov 30, 2002·Resuscitation·A L KnaggsD A Zideman
Nov 20, 2003·Resuscitation·Dawn B JorgensonKaren Uhrbrock
Oct 24, 2002·The New England Journal of Medicine·Sherry L CaffreyLance B Becker
Jun 27, 2003·The New England Journal of Medicine·T Jared BunchDouglas L Packer
Apr 9, 2004·Critical Care Medicine·T Jared BunchDouglas L Packer
Oct 8, 2009·Circulation. Arrhythmia and Electrophysiology·Jose OsorioRaymond E Ideker
Nov 26, 2013·Critical Care : the Official Journal of the Critical Care Forum·Scott A GoldbergPaul E Pepe
Nov 8, 2002·Journal of the American Veterinary Medical Association·Melinda A FryeJanice M Bright
Aug 21, 2009·Journal of Veterinary Emergency and Critical Care·Janice M Bright, Bonnie D Wright
Apr 25, 2007·American Heart Journal·Heather L BloomA Maziar Zafari
Feb 7, 2006·Resuscitation·Richard J GreenCharles D Deakin
Nov 1, 2005·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Janice M BrightKhursheed Mama
Dec 13, 2002·Emergency Medicine Clinics of North America·Roger D White
Aug 28, 2004·Pediatric Clinics of North America·Stuart BergerMary Fran Hazinski
Nov 25, 2004·Pediatric Clinics of North America·Stuart BergerMary Fran Hazinski
Apr 2, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Kimberly FreemanGeoff Stroh
Aug 18, 2004·Journal of the American College of Cardiology·A Maziar ZafariSamuel C Dudley
Mar 15, 2006·Current Opinion in Anaesthesiology·Sharon EinavIdit Matot
Mar 23, 2006·Current Opinion in Anaesthesiology·Ricardo A SamsonRobert A Berg
Oct 19, 2007·Annals of Biomedical Engineering·Saravana Kumar BalasubramanianJohn C Bischof
Jul 12, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Vincent N MosessoRoger D White
Apr 3, 2004·The Journal of the American Dental Association

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