![]() Researchers reviewed two-year’s worth of case files from an existing cardiac arrest quality assurance/quality improvement database of the San Antonio Fire Department to examine the relationship between dual defibrillation in the field and neurologically intact survival. The patient eventually makes a full recovery with only mild short-term memory loss. Cardiac catheterization finds no evidence of significant coronary artery disease. Regardless, they transport the patient to the local STEMI center where a chest CT scan reveals evidence of a myocardial contusion. ![]() The medics acquire a 12-lead ECG, which shows non-specific ST segment abnormalities. Since the patient showed no signs of regaining consciousness, Medic Sanchez performs endotracheal intubation and verifies correct placement with end-tidal capnography. The total time of cardiac arrest was estimated to be about 35 minutes. After delivery of the two shocks, the firefighters quickly resume CPR.Īfter two-minutes of high quality chest compressions, the patient achieves ROSC. When both devices are armed, Lassiter asks everyone to clear and depresses the SHOCK buttons on each machine at the same time. While the AED is charging, Lassiter charges the manual defibrillator to the maximum output. Once in place, he attaches the second set of pads to the police officer’s AED and presses the analyze button. Medic Lassiter applies a second set of defibrillation pads to the patient’s chest in an anterior-posterior position. Top 10 signs your agency's cardiac arrest protocols need updating Despite these therapies, the patient remains in refractory ventricular fibrillation. Over the next few minutes, the patient receives continuous high-quality CPR, three additional defibrillation attempts, 300 mg of amiodarone, and one additional milligram of epinephrine. Medic Sanchez establishes an intraosseous line in the patient’s right humerus and administers 1 mg of epinephrine. The patient remains in coarse ventricular fibrillation. The firefighters take over CPR and the medics transfer the patient to a manual defibrillator. After the impact, the patient walked around for a few seconds and then collapsed to the ground. The patient attempted to turn away from the ball, but was struck in the chest. The officer had an AED in the vehicle and delivered two shocks before EMS arrival.īystanders report the patient was pitching a softball when the batter hit a line-drive toward the pitcher. A police officer is also present and reports he was passing by the park when bystanders flagged him down. On arrival, the crew finds a 36-year-old male lying on the field near the pitcher’s mound with two bystanders performing CPR. Rescue 23 and Engine 12 respond to a report of an unconscious person at a neighborhood baseball park.
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