Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter

A 73-year-old male suddenly felt chest pain and nausea in his home. The fire department requested the dispatch of a physician-staffed helicopter. When the medical staff of the helicopter checked him, his 12-lead electrocardiogram showed ST elevation at the II, III, and aVF leads. After being fitted...

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Main Authors: Ikuto Takeuchi, Youichi Yanagawa, Mitsuhiro Takeuchi, Satoru Suwa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Emergencies, Trauma and Shock
Subjects:
Online Access:http://www.onlinejets.org/article.asp?issn=0974-2700;year=2020;volume=13;issue=3;spage=224;epage=226;aulast=Takeuchi
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author Ikuto Takeuchi
Youichi Yanagawa
Mitsuhiro Takeuchi
Satoru Suwa
author_facet Ikuto Takeuchi
Youichi Yanagawa
Mitsuhiro Takeuchi
Satoru Suwa
author_sort Ikuto Takeuchi
collection DOAJ
description A 73-year-old male suddenly felt chest pain and nausea in his home. The fire department requested the dispatch of a physician-staffed helicopter. When the medical staff of the helicopter checked him, his 12-lead electrocardiogram showed ST elevation at the II, III, and aVF leads. After being fitted with pads for monitoring and defibrillation, he was transferred to the helicopter. Before landing at the base hospital a few minutes later, his electrocardiogram suddenly demonstrated ventricular fibrillation (VF). The patient received an electric shock. When the helicopter landed on the base hospital, he still showed VF. After being directly transferred to the catheter room, he received advanced cardiac life support with percutaneous cardiopulmonary support. A trans-arterial coronary angiogram revealed total occlusion of the right coronary artery. After recanalization of the occluded artery, he regained spontaneous circulation. He received intensive care, including targeted temperature management, and he regained consciousness and achieved social rehabilitation. We herein report the first case of VF safely treated with an electric shock during air evacuation by a rotary-wing aircraft in the English literature. Preparations in advance are necessary to perform electric shock safely during a flight aboard rotary-wing aircraft.
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spelling doaj.art-d460e5e3ef424ac3896eef4e313c549a2022-12-21T23:39:28ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002020-01-0113322422610.4103/JETS.JETS_157_19Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopterIkuto TakeuchiYouichi YanagawaMitsuhiro TakeuchiSatoru SuwaA 73-year-old male suddenly felt chest pain and nausea in his home. The fire department requested the dispatch of a physician-staffed helicopter. When the medical staff of the helicopter checked him, his 12-lead electrocardiogram showed ST elevation at the II, III, and aVF leads. After being fitted with pads for monitoring and defibrillation, he was transferred to the helicopter. Before landing at the base hospital a few minutes later, his electrocardiogram suddenly demonstrated ventricular fibrillation (VF). The patient received an electric shock. When the helicopter landed on the base hospital, he still showed VF. After being directly transferred to the catheter room, he received advanced cardiac life support with percutaneous cardiopulmonary support. A trans-arterial coronary angiogram revealed total occlusion of the right coronary artery. After recanalization of the occluded artery, he regained spontaneous circulation. He received intensive care, including targeted temperature management, and he regained consciousness and achieved social rehabilitation. We herein report the first case of VF safely treated with an electric shock during air evacuation by a rotary-wing aircraft in the English literature. Preparations in advance are necessary to perform electric shock safely during a flight aboard rotary-wing aircraft.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2020;volume=13;issue=3;spage=224;epage=226;aulast=Takeuchiair evacuationelectric shockhelicopter
spellingShingle Ikuto Takeuchi
Youichi Yanagawa
Mitsuhiro Takeuchi
Satoru Suwa
Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
Journal of Emergencies, Trauma and Shock
air evacuation
electric shock
helicopter
title Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
title_full Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
title_fullStr Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
title_full_unstemmed Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
title_short Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
title_sort electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
topic air evacuation
electric shock
helicopter
url http://www.onlinejets.org/article.asp?issn=0974-2700;year=2020;volume=13;issue=3;spage=224;epage=226;aulast=Takeuchi
work_keys_str_mv AT ikutotakeuchi electricshockforapatientwithventricularfibrillationduringairevacuationusingahelicopter
AT youichiyanagawa electricshockforapatientwithventricularfibrillationduringairevacuationusingahelicopter
AT mitsuhirotakeuchi electricshockforapatientwithventricularfibrillationduringairevacuationusingahelicopter
AT satorusuwa electricshockforapatientwithventricularfibrillationduringairevacuationusingahelicopter