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People in VF usually suffered from coronary artery occlusion or asphyxia; besides, the successful resuscitation are not usually benefited from only CPR and counter shock if suspected coronary artery was not under revascularization.
In our present study, it was the 2 mins of optimal CPR rather than 4 mins of suboptimal CPR, which could make the different ischemic myocardial condition to prepare for the coming counter shock.
In their study, Goto and co-authors found an association between improved survival and functional outcome and the use of epinephrine for treatment of cardiopulmonary arrest presenting in other than the rhythms of ventricular fibrillation or pulseless ventricular tachycardia, which can immediately be treated with electrical counter shock.
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First, quantitative easing involves the use of both sides of a central bank's balance-sheet to counter shocks hitting the economy.
He phoned it into the local pharmacist and two hours later I was at the counter, shocked that 60 pills cost $88.
If ROSC was not achieved, administration of epinephrine at the same dosage and chest compressions were repeated for 1 minute before additional direct current counter shocks (again up to three times) were delivered.
The idea emerged that maybe a counter-shock could set the heart right.
The cardioversion outcome prediction (COP) measure previously developed by our group was used to quantify the probability of return of spontaneous circulation (ROSC) after counter-shock and was used as a measure of the efficacy of CPR.
Therefore, many patients were already receiving some degree of basic CPR before the counter-shock, even in the historical control period.
In addition to conflicting with internationally accepted standards of patient management [ 19], the deferred counter-shock concept may also pose a potential glitch for current automated defibrillator initiatives, especially certain public access defibrillation initiatives [ 21, 22].
However, recent laboratory and clinical data have also begun to suggest that the current standard of immediately providing counter-shock as the first intervention for VF may be detrimental when the VF is prolonged beyond several minutes [ 5- 9].
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