Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 This e-mail, facsimile, or letter and any files or attachments transmitted with it contains information that is confidential and privileged. This information is intended only for the use of the individual(s) and entity(ies) to whom it is addressed. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations. If you have received this information in error, please notify Baylor Health Care System immediately at 1- or via e-mail at privacy@.... Baylor Health Care System, its subsidiaries, and affiliates hereby claim all applicable privileges related to this information. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 This e-mail, facsimile, or letter and any files or attachments transmitted with it contains information that is confidential and privileged. This information is intended only for the use of the individual(s) and entity(ies) to whom it is addressed. If you are the intended recipient, further disclosures are prohibited without proper authorization. If you are not the intended recipient, any disclosure, copying, printing, or use of this information is strictly prohibited and possibly a violation of federal or state law and regulations. If you have received this information in error, please notify Baylor Health Care System immediately at 1- or via e-mail at privacy@.... Baylor Health Care System, its subsidiaries, and affiliates hereby claim all applicable privileges related to this information. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2005 Report Share Posted June 9, 2005 True, also one must consider if the AED is broken Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2005 Report Share Posted June 11, 2005 > > How plausible does this scenario sound? > > 1. Patient is UNCONSCIOUS. Because the patient is unconscious > and unresponsive, an AED is attached and turned on. It may or > may not shock. Surely the rescuer would have made an attempt to assess for pulses (maybe not with a lay-person) or breathing. If both of these were present, I don't understand why an AED would be attached in the first place. The recovery question and calling 911 sound like better options to me. > 2. Patient WAKES UP. Either they were shocked and became conscious, > or just woke up spontaneously, but AFTER the AED was attached, > they WOKE UP. See comment under point 1. > 3. AFTER waking up, WHILE conscious, the AED says SHOCK. We are > assuming V-tac, but all we really know is the unit says SHOCK. > > For this to happen, we have to have a conscious patient in wide-complex > v-tac over about 120 bpm, according to some of the units I've > found specs for. How feasible is that? > It sounds feasible. However, I believe I would defer answering this in favor of the physicians on this list. Regards, Alfonso R. Ochoa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2005 Report Share Posted June 11, 2005 > > Kenny, > > I don't think so in this case. Remember, this is a LAY responder. > They are not taught to check pulse, per current guidelines. > And, the unresponsive patient has AED applied immediately, before > circulation check anyway. Unresponsiveness is the key. > Lay persons are taught to check for signs of circulation (ie breathing) as per the AHA. Sounds like this person jumped the gun in this case. > But the question is still there. How common is conscious wide-complex > v-tac? I've seen conscious patients in V-Tac a few times over > the years. But not knowing the specificity and the parameters > the AEDs use to determine if it's shockable is a problem. > Depends on many things. I personally have picked up numerous patients who seemed to be in wide-complex VTACH until I noticed a small " spike " between the wide QRS complex. A personal observation of mine which may be way off is the newer models of pacemakers have little to no spikes before the QRS when compared to the older models. Thus, it's very possible that the AED might have been tricked into thinking it was VTACH when in all actuality it was a ventricular paced rhythm. Regards, Alfonso R. Ochoa Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.