Universität zu Köln

Wanke, Sebastian, Odendahl, Tobias, Herrmann, Anika, Steven, Daniel and Reuter, Hannes (2017). Limitations of Automated External Defibrillators in Emergency: a Resuscitation Report From Cologne Street Carnival. Notarzt, 33 (6). S. 279 - 286. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8693

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Abstract

History Without perceptible reason, a 25-year-old man collapsed in a street carnival and needed to be resuscitated. Cardio-pulmonary resuscitation (CPR) was started immediately by local medical service; an automated external defibrillator (AED) was used and advises a shock. This was followed by 71-minute resuscitation, including twelve shocks, resulting in return of spontaneous circulation (ROSC). Further examinations in hospital showed a repeating narrow complex tachycardia in ECG. Because of the optimal first-aid measures, immediate emergency care and continuous reanimation processes, the patient was able to leave the hospital without neurological deficit. The patient got discharged after placement of an implantable cardioverter defibrillator (ICD). To date, an underlying channelopathy has not been proven by genetic testing. Conclusion Although use of AED in emergency medicine appears reasonable, this report shows that a compression-free interval (no flow time) of 26 seconds under use of AED even by a well-trained team is highly unacceptable. This seems mostly due to the settings of the technical devices and their suboptimal adjustment to environment. Furthermore, manual defibrillation should always be preferred to automated defibrillation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wanke, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Odendahl, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrmann, Anika UNSPECIFIED UNSPECIFIED UNSPECIFIED Steven, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Reuter, Hannes UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-209162
DOI:	10.1055/s-0043-112632
Journal or Publication Title:	Notarzt
Volume:	33
Number:	6
Page Range:	S. 279 - 286
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8693
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOSPITAL CARDIAC-ARREST; BASIC LIFE-SUPPORT; CARDIOPULMONARY-RESUSCITATION; COUNCIL GUIDELINES; SURVIVAL; COMPRESSION; OUTCOMES Multiple languages Emergency Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20916