Waveform Analysis–Guided Treatment Versus a Standard Shock-First Protocol for the Treatment of Out-of-Hospital Cardiac Arrest Presenting in Ventricular Fibrillation
Author(s) -
John P. Freese,
Dawn Jorgenson,
Ping-Yu Liu,
Jennifer Innes,
L. Matallana,
K. Nammi,
Rachael T. Donohoe,
Mark Whitbread,
Robert A. Silverman,
David J. Prezant
Publication year - 2013
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.113.003273
Subject(s) - defibrillation , medicine , ventricular fibrillation , return of spontaneous circulation , cardiopulmonary resuscitation , clinical endpoint , resuscitation , automated external defibrillator , cardiology , shock (circulatory) , emergency medical services , anesthesia , emergency medicine , randomized controlled trial
Ventricular fibrillation (VF) waveform properties have been shown to predict defibrillation success and outcomes among patients treated with immediate defibrillation. We postulated that a waveform analysis algorithm could be used to identify VF unlikely to respond to immediate defibrillation, allowing selective initial treatment with cardiopulmonary resuscitation in an effort to improve overall survival.
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