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" First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration "
Boehm, Kevin M; Keyes, Daniel; Mader, Laura E; Moccia, Joan Michelle
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AL
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| Record Number
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933259
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| Doc. No
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LA1469v72j
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| Language of Document
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English
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| Main Entry
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Boehm, Kevin M; Keyes, Daniel; Mader, Laura E; Moccia, Joan Michelle
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| Title & Author
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First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration [Article]\ Boehm, Kevin M; Keyes, Daniel; Mader, Laura E; Moccia, Joan Michelle
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| Title of Periodical
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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| Volume/ Issue Number
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17/6
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| Date
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2016
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| Abstract
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Ventricular fibrillation (VF) is a potentially fatal dysrhythmia associated with acute myocardial infarction. The longer a patient waits for definitive care, the greater their chance of mortality. There is a subset of patients, however, who suffered a VF arrest, received appropriate care, and despite standard medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 J of biphasic current), remained in refractory VF (RVF), also known as electrical storm. The mortality for these patients is as high as 97%. We present the case of a patient who, because of a novel approach, survived RVF to discharge and outpatient follow-up.
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