Current Resuscitation Guidelines endorse a simple evaluation to recognize cardiac
arrest; an unconscious and not normally breathing victim. This simple algorithm may
not completely align with the physiological reality of cardiac arrest (CA). Some studies
state that during the first minute of a witnessed ventricular fibrillation (VF) breathing
patterns could remain normal. Likewise, the level of consciousness could be maintained
for a short period of time, which contradicts the current guidelines.
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References
- Ventricular fibrillation and consciousness are not mutually exclusive.Resuscitation. 2016; 100: e1-e2https://doi.org/10.1016/j.resuscitation.2015.11.025
- Sustained ventricular fibrillation in a conscious patient.Arch Intern Med. 2011; 171: 973https://doi.org/10.1001/archinternmed.2011.235
- Cough-CPR: documentation of systemic perfusion in man and in an experimental model: a “window” to the mechanism of blow flow in external CPR.Crit Care Med. 1980; 8: 141-146
- Sustained consciousness during ventricular fibrillation: case report of cough cardiopulmonary resuscitation.Cathet Cardiovasc Diagn. 1996; 37: 47-48
- Cough cardiopulmonary resuscitation revisited.Circulation. 2006; 114e530-e53
Article Info
Publication History
Published online: February 02, 2018
Accepted:
February 2,
2018
Received in revised form:
January 31,
2018
Received:
December 8,
2017
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
