DOI QR코드

DOI QR Code

A survived case after 150J defibrillation and CPR were performed for out-of-hospital infant cardiac arrest

병원 전 영아 심정지 환자에서 150J 제세동과 심폐소생술 시행 후 생존한 1례

  • Yun, Hyeong-Wan (Department of Emergency Medical Technology, Vision University, College of Jeonju) ;
  • Hong, Soo-Mi (Department of Healthcare Management, Vision University, College of Jeonju) ;
  • Jeon, Yoon-Chul (Palbong 119center, Iksan Fire-Fighter Station) ;
  • Lee, Jae-Min (Department of Emergency Medical Technology, Gwangju Health University)
  • 윤형완 (전주비전대학교 응급구조과) ;
  • 홍수미 (전주비전대학교 보건행정학과) ;
  • 전윤철 (익산소방서 팔봉119안전센터) ;
  • 이재민 (광주보건대학교 응급구조과)
  • Received : 2013.10.17
  • Accepted : 2013.12.17
  • Published : 2013.12.31

Abstract

Purpose: The purpose of the study is to emphasize the importance of out-of-hospital cardiac arrest resuscitation. This resuscitation by paramedic is very effectively performed under the medical direction of the doctors. Methods: The cardiac arrest victim was 4 month old infant. Informed consent from the parents of the infant was received. CPR combined with 150J defibrillation was performed to the 4 month old infant. Results: We reported that the 4 month old infant survived the cardiac arrest. Out-of-hospital cardiac arrest infant survived after 150J automated external defibrillator and CPR performance. Conclusion: Specific operative protocol is important because the paramedic can apply the proper manual defibrillator effectively. It is important to extend the work scpoe of the EMT.

Keywords

Automated external defibrillator;Cardiopulmonary resuscitation;Out of hospital cardiac arrest;Pediatric advanced life support

References

  1. De Caen AR, Kleinman ME, Chameides L, Atkins DL, Berg RA, Berg MD, et al. Paediatric basic and advanced life support: 2010 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 2010;81: 213-59. https://doi.org/10.1016/j.resuscitation.2010.08.028
  2. Chameides L, Samson RA, Schexnayder SM, Hazinski MF. Pediatric advanced life support: Provider manual 2011. American Heart Association. 2011. 154-9.
  3. Yun HW, Jung EK. The effectiveness of quality control of 119 emergency medical service on survival rate of cardiac arrest patients. The Korean J. of Health Society 2013;7(1):21-34.
  4. Yun YY, Kim HJ, Han SC, Youm KI, Moon JM, Chun BI, et al. Clinical analysis of CPR in infants with out-of-hospital cardiopulmonary arrest. J Korean Soc Emerg Med 2004;15(6):567-74.
  5. Donoghue AJ, Nadkarni V, Berg RA, Osmond MH, Wells G, Nesbitt L, et al. Out-of-hospital pediatric cardiac arrest: An epidemiologic review and assessment of current knowledge. Ann Emerg Med 2005; 46(6): 512-22. https://doi.org/10.1016/j.annemergmed.2005.05.028
  6. Cummins RO, Hazinski MF, Baskett PJ.F, Chamberlain D, Bossaert LL, Callanam Vic, et al. Pediatric basic life support. Resuscitation 2000;46(1-3):301-41. https://doi.org/10.1016/S0300-9572(00)00295-1
  7. Young KD, Seidel JS. Pediatric cardiopulmonary resuscitation: a collective review. Ann Emerg Med 1999;33(2):195-205. https://doi.org/10.1016/S0196-0644(99)70394-X
  8. Cho YC, Koo DH, Ryu S, Lee JW, Kim SW, Yoo IS, et al. Structures does a rescuer compress in one rescuer cardiopulmonary resuscitation for infant. Korean J Emerg Med Ser 2009;20(4):372-8.
  9. Kim YM, Gim UJ, Gim JJ, An MU, Lee TH, Jeong SP, et al. Emergency medicine. 1st ed. The Korean Society of Emergency Medicine: Koonja, 2011. 121-8.
  10. Biarent D, Bingham R, Eich C, Lopez-Herce J, Maconochie I, Rodriguez-Nunez A, et al. European resuscitation council guidelines for resuscitation 2010 section 6. paediatric life support. Resuscitation 2010;81(10):1364 -88. https://doi.org/10.1016/j.resuscitation.2010.08.012
  11. Berg RA, Samson RA, Berg MD, Chapman FW, Hilwig RW, Banville I, et al. Better outcome after pediatric defibrillation dosage than adult dosage in a swine model of pediatric ventricular fibrillation. J Am Coll Cardiol 2005;45(5):786–9. https://doi.org/10.1016/j.jacc.2004.11.040
  12. Sinz E, Navarro K. Advanced cardiac life support provider manual 2011. American Heart Association. 2011. 54.
  13. Park SE, Shin DM. The changes of defibrillation time depending on the manual external defibrillator device. Korean J Emerg Med Ser 2012;16(1):81-90.
  14. Yun HW, Lee JM, Jung JY. Out-of- hospital resuscitation if cardiac arrest by 119 emergency medical service system. Fire Science and Engineering 2010;24(5): 142-9.
  15. Berg MD, Samson RA, Meyer RJ, Clark LL, Valenzuela TD, Berg RA. Pediatric defibrillation doses often fail to terminate prolonged out-of-hospital ventricular fibrillation in children. Resuscitation 2005; 67(1):63-7. https://doi.org/10.1016/j.resuscitation.2005.04.018
  16. Lim JM, Yun SJ, Lim GS, Kang KK, Choi ES, Seo KH. Psychological burden for legal responsibility of 119 emergency personnels. Korean J Emerg Med Ser 2009;13(1):87-96.
  17. Onay OS, Yildirim I, Beken B, Erdem S, Karagoz T, Yilmaz M, et al. Successful implantation of an intracardiac defibrilla‐tor in an infant with long qt syndrome and isolated noncompaction of the ventricular myocardium. Pediatr cardiol 2012;34(1): 189-93.
  18. Alsoufi B, Al-Radi OO, Nazer RI, Gruenwald C, Foreman C, Williams WG, et al. Survival outcomes after rescue extracorporeal cardiopulmonary resuscitation in pediatric patients with refractory cardiac arrest. J Thorac Cardiovasc Surg 2007; 134(4):952-9. https://doi.org/10.1016/j.jtcvs.2007.05.054
  19. Sutton RM, French B, Nishisaki A, Niles DE, Maltese MR, Boyle L, et al. American Heart Association cardiopulmonary resuscitation quality targets are associated with improved arterial blood pressure during pediatric cardiac arrest. Resusciation 2013;84(2):168-72. https://doi.org/10.1016/j.resuscitation.2012.08.335
  20. National Emergency Management Agency. 119 EMS field standard guidelines 2013. National Emergency Management Agency. 2012. 71-5.