Right time, right place, and right direction: First reported use of dual simultaneous external defibrillation in Hong Kong

Abstract

Introduction: Refractory ventricular fibrillation is not uncommon and can be extremely difficult to abort. There is currently no standard guideline to effectively manage this electrical storm. Case Presentation: We hereby present the first successful reported use of dual simultaneous external defibrillation on a patient with refractory ventricular fibrillation in Hong Kong. Conclusion: Given the numerous successful cases with intact neurology in literature, dual simultaneous external defibrillation should be employed in indicated patients.

Re: Dual simultaneous external defibrillation case report versus other alternatives in refractory ventricular fibrillation management: From 6H5T factors, adjuvant drug Rx, electrode position to supra-200 J energy defibrillation

“…It is very inspiring to learn from the Ruttonjee Hospital emergency department (ED) on reporting the first successful return of spontaneous circulation (ROSC) and Survival-to-Admission (STA) case (though without achieving Survivalto-Discharge (STD)) of a middle-aged obese smoker with refractory ventricular fibrillation (VF) by SKJ Lau et al in the January issue of 2019 of your esteemed Journal. 1 To improve the success of defibrillation, the following technical skill factors are important:…”