Brown Samuel, Mool Jason L, Young William E, Hollensteiner Kourtney M, Cyr Ashley, Yi Fia, Gausepohl Andrew J
Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA.
Interservice Physician Assistant Program, Ft Campbell, KY 42223, USA.
Mil Med. 2022 Jan 4;187(1-2):259-261. doi: 10.1093/milmed/usab433.
This is a case report regarding the use of non-conventional methods to perform internal cardiac defibrillation on a trauma patient in an austere environment. The patient was a polytrauma causality of an improvised explosive device who arrived to a far forward resuscitative surgical team during a recent armed conflict. After arrival, the patient lost pulses. An emergency resuscitative thoracotomy was performed, and the patient was noted to have ventricular fibrillation on direct cardiac visualization. In the absence of standard surgical defibrillation paddles, the team applied external defibrillator stickers directly to the patient's myocardium to deliver an electrical shock. The procedure successfully led to the return of spontaneous circulation. This report highlights a novel approach to resuscitation in resource-limited environments by a military surgical team.
这是一份关于在严峻环境下对一名创伤患者使用非常规方法进行心脏内除颤的病例报告。该患者是简易爆炸装置所致的多发伤伤员，在最近一次武装冲突期间被送至前沿复苏手术团队处。到达后，患者脉搏消失。进行了紧急复苏开胸手术，直接观察心脏时发现患者为心室颤动。由于没有标准的手术除颤电极板，该团队将体外除颤器贴片直接贴在患者心肌上以施加电击。该操作成功使自主循环恢复。本报告强调了军事外科团队在资源有限环境中进行复苏的一种新方法。
