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KMID : 0385920080190020217
Journal of the Korean Society of Emergency Medicine
2008 Volume.19 No. 2 p.217 ~ p.220
Advanced Cardiac Life Support for Hyperkalemic Cardiac Arrest
Oh Se-Gwang

Cho Yong-Chul
Koo Do-Hyun
Ryu Seung
Lee Jin-Woong
Kim Seung-Hwan
Yoo In-Sool
Abstract
The acceptable total number of electrical shocks used in treating cardiac arrest is not exactly defined in any of the literature. It is generally expressed as ¡°the more trials the less chance¡¯¡¯. Electrical therapy should be promptly performed
in the presence of ¡°shockable¡±rhythm. But for pulseless patients bystander cardiopulmonary resuscitation (CPR) should be done on instead. The most reasonable number of attempts of electrical therapy and the length of CPR or unresponsive ventricular fibrillation or pulseless ventricular tachycardia are not well defined. We report the case of 57-year-old woman presenting with mental change due to sustained pulseless ventricular tachycardia who survived to hospital discharge without neurological sequelae after 45 defibrillations and prolonged CPR for 86 minutes.
KEYWORD
Ventricular tachycardia, Electrical Countershock, Cardiopulmonary resuscitation
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