Inappropriate Shocks and Power Delivery Using Adult Automatic External Defibrillator Pads in a Pediatric Patient
| Autor: | Uriel Katz, Yehuda Attias, Shai Tejman-Yarden, Reem Yahia, Marina Rubinstein, David Mishali, Michael Glikson |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Resuscitation Sinus bradycardia Electric Countershock 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine External defibrillators Medicine Humans 030212 general & internal medicine Child business.industry Small children Infant Newborn Arrhythmias Cardiac Heart General Medicine medicine.disease Cardiopulmonary Resuscitation Pediatric patient Pediatrics Perinatology and Child Health Emergency medicine Emergency Medicine Automatic external defibrillator Medical emergency medicine.symptom business Defibrillators |
| Zdroj: | Pediatric emergency care. 37(12) |
| ISSN: | 1535-1815 |
| Popis: | The use of automatic external defibrillators (AEDs) during pulseless resuscitations is considered safe and reliable, and was established as part of the guidelines in out-of-hospital events. Based on extensive studies, the use of the standard AED is now indicated in every age group with a preference of pediatric pad application for small children and babies. If unavailable, adult pads are recommended. We report a case of 2 inappropriate AED shocks that were delivered to a neonate during a pulseless resuscitation after application of adult pads. The 3.6-kg patient received 2 shocks, over 200 J each, for sinus bradycardia that was not detected by the device. Although treated inappropriately with high voltage, no cardiac or skin sequelae were detected, and the patient had normal cardiac and neurological development later on. |
| Databáze: | OpenAIRE |
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