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Immediate Defibrillation for Out-of-Hospital Ventricular Fibrillation

  • P. E. Pepe
  • J. G. Wigginton
  • R. L. Fowler
Conference paper

Abstract

Despite well-developed emergency medical service (EMS) systems with rapid response advanced cardiac life support (ACLS) capabilities, survival rates for sudden out-of-hospital cardiac arrest have remained low in most venues, even for out-of-hospital ventricular fibrillation (VF), the highly-reversible cause of most sudden out-of-hospital cardiac arrest events [1–4]. These poor resuscitation rates have been attributed most often to delays in the delivery of basic cardiopulmonary resuscitation (CPR) by witnesses, or of rapid defibrillation by EMS personnel [3–4]. However, recent laboratory and clinical data have also begun to suggest that the current standard of immediately providing countershock may be detrimental when VF has been prolonged beyond several minutes [5–9].

Keywords

Ventricular Fibrillation Emergency Medical Service Chest Compression Spontaneous Circulation Advance Cardiac Life Support 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • P. E. Pepe
  • J. G. Wigginton
  • R. L. Fowler

There are no affiliations available

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