Delayed Defibrillation Caused by Unexpected ECG Artifact - 21/08/11
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Incorrect lead selection and unexpected ECG artifact during an attempted resuscitation after inhospital cardiac arrest resulted in undetected lack of cardiac monitoring for approximately 13 minutes. The patient was finally countershocked and regained a spontaneous pulse but was determined to have experienced profound neurologic damage and died shortly after being extubated. This type of failure may be common, particularly with older monitor/defibrillators. Caregivers, health care organizations, and device manufacturers should be aware of this potential problem and institute preventive measures.
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Supervising editor: Robert L. Wears, MD, MS |
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Please note that the incident discussed in this case report did not occur at the author's current affiliation. |
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Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The author has stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. |
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Publication dates: Available online April 3, 2008. |
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Reprints not available from the author. |
Vol 52 - N° 5
P. 515-518 - novembre 2008 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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