Case reportFirst appropriate use of automated external defibrillator in an infant☆
Section snippets
Case report
This previously healthy female infant was 11 weeks old at the time of her initial cardiac arrest, which required cardiopulmonary resuscitation (CPR) by her parents and paramedics. After two unsuccessful direct-current (DC) countershocks in the field, the infant arrived at a local emergency room in polymorphic ventricular tachycardia and was successfully cardioverted to sinus rhythm with two further shocks. The subsequent rhythm showed Wolff–Parkinson–White Syndrome, and an echocardiogram
Discussion
Survival rates for out-of-hospital defibrillation depend on the time between collapse and defibrillation. Better than 50% survival rates are seen when defibrillation occurs within the first 3 min of witnessed adult VF arrests [1]. The advent of AEDs and subsequent confirmation of their efficacy in adults [2], [3], [4] has allowed earlier defibrillation in a variety of public settings where these devices are available. In a recent advisory statement by the International Liaison Committee on
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Cited by (52)
The Case for Home AED in Children, Adolescents, and Young Adults Not Meeting Criteria for ICD
2022, JACC: Clinical ElectrophysiologyCitation Excerpt :There may be a concern about the capacity of parents to respond appropriately in the setting of a cardiac arrest. Of note, there are several case reports of parents delivering a shock to their child.36-38 In the experience of the authors, who care for high-risk children, parents readily accept the CPR and AED training and are relieved, and are often empowered, by having an AED in their home.
Don't wait for the weight
2017, ResuscitationPrescribing an automated external defibrillator for children at increased risk of sudden arrhythmic death
2017, Cardiology in the YoungSiblings with Gorlin–Goltz syndrome associated with cardiac tumors: a case report and review of literature
2023, Orphanet Journal of Rare Diseases
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A Spanish translated version of the Abstract of this article appears as Appendix at 10.1016/j.resuscitation.2005.05.003.