Successful resuscitation after out-of-hospital cardiac arrest
CL Tang, KS Cheung, SH Tsui, George TW Tse
Accident and Emergency Department, Queen Mary Hospital, Pokfulam, Hong Kong
A 66-year-old woman presented to the emergency department after a witnessed cardiac arrest, having had compression-only cardiopulmonary resuscitation initiated by her son on the backseat of his car. She was resuscitated in the emergency department for 1 hour before the return of spontaneous circulation. She then underwent primary percutaneous coronary intervention and therapeutic hypothermia. She was discharged without significant neurological deficit. This case illustrates better survival and neurological outcome can be achieved by prompt implementation of a 'chain of survival' interventions and therapeutic hypothermia.
Hong Kong Med J 2012;18:536-8
Key words: Cardiopulmonary resuscitation; Heart
arrest; Hypothermia; Out-of-hospital
cardiac arrest; Ventricular fibrillation