Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
- Author(s): Boehm, Kevin M
- Keyes, Daniel
- Mader, Laura E
- Moccia, Joan Michelle
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2016.8.30351
Ventricular fibrillation (VF) is a potentially fatal dysrhythmia associated with acute myocardial infarction. The longer a patient waits for definitive care, the greater their chance of mortality. There is a subset of patients, however, who suffered a VF arrest, received appropriate care, and despite standard medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 J of biphasic current), remained in refractory VF (RVF), also known as electrical storm. The mortality for these patients is as high as 97%. We present the case of a patient who, because of a novel approach, survived RVF to discharge and outpatient follow-up.