Abstract
Background: Recent emphasis on high quality prehospital cardiopulmonary resuscitation has resulted in more out-of-hospital cardiac arrest victims surviving to the emergency department. As such, standardized in-hospital post-cardiac arrest care is necessary to assure optimal neurological recovery. Although therapeutic hypothermia has arisen as a key component in the post-cardiac arrest care paradigm, its interaction with other therapies remains poorly defined. Objective: The purpose of this communication is to demonstrate a potential interaction between therapeutic hypothermia and routinely administered resuscitation medications. Case Report: We present a case of idiopathic ventricular fibrillation in a previously healthy 36-year-old man who developed persistent ventricular fibrillation in the setting of mild therapeutic hypothermia and high doses of routine resuscitation medications. Conclusion: This case illustrates the importance of understanding the potential interaction between therapeutic hypothermia and resuscitation medications along with the need for a systematic and standardized, multi-disciplinary approach to post-cardiac arrest care.
Original language | English (US) |
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Pages (from-to) | 36-40 |
Number of pages | 5 |
Journal | Journal of Emergency Medicine |
Volume | 43 |
Issue number | 1 |
DOIs | |
State | Published - Jul 2012 |
Externally published | Yes |
Keywords
- dobutamine
- dopamine
- drug metabolism
- therapeutic hypothermia
- ventricular fibrillation
ASJC Scopus subject areas
- Emergency Medicine