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Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report
CASE PRESENTATION: A 49 year old man had ventricular fibrillation in his home, at room temperature, due to an ST-elevation myocardial infarction. He received Cardiac compression only resuscitation (CC-only) for 26 minutes by his wife, followed by four minutes of standard CPR by other lay persons unt...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2873364/ https://www.ncbi.nlm.nih.gov/pubmed/20398354 http://dx.doi.org/10.1186/1757-7241-18-19 |
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author | Steen-Hansen, Jon Erik |
author_facet | Steen-Hansen, Jon Erik |
author_sort | Steen-Hansen, Jon Erik |
collection | PubMed |
description | CASE PRESENTATION: A 49 year old man had ventricular fibrillation in his home, at room temperature, due to an ST-elevation myocardial infarction. He received Cardiac compression only resuscitation (CC-only) for 26 minutes by his wife, followed by four minutes of standard CPR by other lay persons until EMS-arrival. Gasping and moaning were observed during most of the CC-only period. The ambulance arrived at 30 minutes. The first ECG showed a fine ventricular fibrillation. Restoration of spontaneous circulation (ROSC) was achieved at 49 minutes after a total of four defibrillatory shocks. The patient recovered without any cerebral damage, and was discharged to his home after eight days hospitalization. CONCLUSIONS: This case demonstrates that early and powerful cardiac compressions alone without rescue breaths may maintain sufficient circulation and gas exchange to prevent neurological damage for more than 25 minutes. This should be kept in mind for Emergency Medical Dispatch Centrals giving Pre-arrival instructions to bystanders. |
format | Text |
id | pubmed-2873364 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28733642010-05-20 Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report Steen-Hansen, Jon Erik Scand J Trauma Resusc Emerg Med Case Report CASE PRESENTATION: A 49 year old man had ventricular fibrillation in his home, at room temperature, due to an ST-elevation myocardial infarction. He received Cardiac compression only resuscitation (CC-only) for 26 minutes by his wife, followed by four minutes of standard CPR by other lay persons until EMS-arrival. Gasping and moaning were observed during most of the CC-only period. The ambulance arrived at 30 minutes. The first ECG showed a fine ventricular fibrillation. Restoration of spontaneous circulation (ROSC) was achieved at 49 minutes after a total of four defibrillatory shocks. The patient recovered without any cerebral damage, and was discharged to his home after eight days hospitalization. CONCLUSIONS: This case demonstrates that early and powerful cardiac compressions alone without rescue breaths may maintain sufficient circulation and gas exchange to prevent neurological damage for more than 25 minutes. This should be kept in mind for Emergency Medical Dispatch Centrals giving Pre-arrival instructions to bystanders. BioMed Central 2010-04-16 /pmc/articles/PMC2873364/ /pubmed/20398354 http://dx.doi.org/10.1186/1757-7241-18-19 Text en Copyright ©2010 Steen-Hansen; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Steen-Hansen, Jon Erik Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report |
title | Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report |
title_full | Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report |
title_fullStr | Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report |
title_full_unstemmed | Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report |
title_short | Favourable outcome after 26 minutes of "Compression only" resuscitation: a case report |
title_sort | favourable outcome after 26 minutes of "compression only" resuscitation: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2873364/ https://www.ncbi.nlm.nih.gov/pubmed/20398354 http://dx.doi.org/10.1186/1757-7241-18-19 |
work_keys_str_mv | AT steenhansenjonerik favourableoutcomeafter26minutesofcompressiononlyresuscitationacasereport |