Accidental shock to rescuer from an implantable cardioverter defibrillator

Siniorakis, Eftychios; Hardavella, Georgia; Arvanitakis, Spyridon; Roulia, Georgia; Voutas, Petros; Karidis, Costas

doi:10.1016/j.resuscitation.2008.10.032

Cited by 13 publications

(6 citation statements)

References 2 publications

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“…The cardiac massage was hypothesized to mimic a shockable rhythm. An additional case report by Siniorakis describes a chest compressor who received an ICD-related shock that threw him against a wall resulting in neck and back pain [ 34 ]. The “electrical noise” generated by chest compressions was believed to have been interpreted by the ICD as ventricular fibrillation.…”

Section: Resultsmentioning

confidence: 99%

Hospital resuscitation teams: a review of the risks to the healthcare worker

2017

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Background“Code blue” events and related resuscitation efforts involve multidisciplinary bedside teams that implement specialized interventions aimed at patient revival. Activities include performing effective chest compressions, assessing and restoring a perfusing cardiac rhythm, stabilizing the airway, and treating the underlying cause of the arrest. While the existing critical care literature has appropriately focused on the patient, there has been a dearth of information discussing the various stresses to the healthcare team. This review summarizes the available literature regarding occupational risks to medical emergency teams, characterizes these risks, offers preventive strategies to healthcare workers, and highlights further research needs.MethodsWe performed a literature search of PubMed for English articles of all types (randomized controlled trials, case-control and cohort studies, case reports and series, editorials and commentaries) through September 22, 2016, discussing potential occupational hazards during resuscitation scenarios. Of the 6266 articles reviewed, 73 relevant articles were included.ResultsThe literature search identified six potential occupational risk categories to members of the resuscitation team—infectious, electrical, musculoskeletal, chemical, irradiative, and psychological. Retrieved articles were reviewed in detail by the authors.ConclusionOverall, we found there is limited evidence detailing the risks to healthcare workers performing resuscitation. We identify these risks and offer potential solutions. There are clearly numerous opportunities for further study in this field.

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Section: Resultsmentioning

confidence: 99%

Hospital resuscitation teams: a review of the risks to the healthcare worker

2017

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“…Karidis et al report a caregiver performing chest compressions when an internal implanted defibrillator was discharged. In this case the caregiver was barehanded, and the report described the caregiver was "thrown back" [9]. After interrogation of the defibrillator, the patient was shocked at 22 joules.…”

Section: Discussionmentioning

confidence: 99%

A randomized control hands-on defibrillation study—Barrier use evaluation

Wampler¹,

Kharod²,

Bolleter³

et al. 2016

Resuscitation

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“…Due to potential side effects, it is important not to be in touch with the patient while delivering a shock. There have been some case reports in the literature of rescuer DOI: http://dx.doi.org /10.5772/intechopen.91866 being thrown away [40,41] to as severe as death [42]. In all these cases, the rescuers were barehanded.…”

Section: Hands-on Defibrillationmentioning

confidence: 99%

Cardiopulmonary Resuscitation: Recent Advances

Kumar¹,

Yadav²,

Garg³

2020

Sudden Cardiac Death

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Cardiac arrest is the most significant reason for mortality and morbidities worldwide. With a better understanding of the pathophysiology of cardiac arrest, simple adaptations in basic life support to upcoming modifications in postresuscitation care have been proposed by various resuscitation councils throughout the globe. Role of point of care cardiac ultrasound during cardiopulmonary resuscitation (CPR) has been explored and its contribution for identifying reversible causes and its real time management has been explored. A higher blood and tissue oxygenation levels contributed to an increased rate of return of spontaneous circulation (ROSC) which has to lead us to explore more options to increase the oxygenation. Starting from the CPR training, the use of sensors for spirometric feedback in ventilation maneuvers can help improve the quality of CPR. High flow nasal oxygenation during CPR has shown promising results. Extracorporeal CPR is another entity that has shown survival benefits in a selected group of patients. The aim of the newer advances has always been to decrease the morbidity and improve survival outcomes in terms of neurological deficit as well. These guidelines are reviewed and updated regularly to improve knowledge and training based on the current evidence. This chapter shall focus on recent advances in cardiopulmonary resuscitation.

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Accidental shock to rescuer from an implantable cardioverter defibrillator

Cited by 13 publications

References 2 publications

Hospital resuscitation teams: a review of the risks to the healthcare worker

Hospital resuscitation teams: a review of the risks to the healthcare worker

A randomized control hands-on defibrillation study—Barrier use evaluation

Cardiopulmonary Resuscitation: Recent Advances

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