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Media type:
E-Article
Title:
Automated external defibrillator use in a previously healthy 31‐day‐old infant with out‐of‐hospital cardiac arrest due to ventricular fibrillation
Contributor:
Hoyt, Walter J.;
Fish, Frank A.;
Kannankeril, Prince J.
imprint:
Wiley, 2019
Published in:Journal of Cardiovascular Electrophysiology
Language:
English
DOI:
10.1111/jce.14125
ISSN:
1045-3873;
1540-8167
Origination:
Footnote:
Description:
<jats:title>Abstract</jats:title><jats:sec><jats:title>Introduction</jats:title><jats:p>Current resuscitation guidelines state that the safety of automated external defibrillators (AEDs) in infants less than 1 year of age is unknown.</jats:p></jats:sec><jats:sec><jats:title>Methods and Results</jats:title><jats:p>We report successful AED use in a 31‐day‐old previously healthy infant with out‐of‐hospital cardiac arrest. Chest compressions began immediately, pediatric AED pads were applied in less than 5 minutes and the initial rhythm was ventricular fibrillation. After two 50 J shocks, return of spontaneous circulation was achieved. She was diagnosed with a rare but previously described syndrome of infant ventricular fibrillation and was discharged to home in good condition after epicardial defibrillator placement.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>This case represents, to our knowledge, the youngest patient successfully defibrillated by an AED in a nonmedical setting. Although she received two shocks more than 11 J/kg each, she had no apparent myocardial damage at presentation.</jats:p></jats:sec>