Document Detail


Defibrillation and thrombolysis following a myocardial infarct in Antarctica.
MedLine Citation:
PMID:  12137108     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes the cardiac resuscitation and air evacuation of a 53-yr-old male dentist who sustained an inferior myocardial infarction and cardiac arrest in Antarctica. Following defibrillation and thrombolysis, a ski-equipped LC-130 airlifted this critical patient 9 h north to New Zealand for angioplasty. This case heralds the rapidly evolving ability to extend state-of-the-art health care to previously inaccessible areas. While increased public confidence is warranted and welcomed, the authors aim to temper unchecked enthusiasm by detailing both the technical complexities and the good fortune involved in this extreme resuscitation. A literature review suggests this case represents the most geographically remote cardiac resuscitation yet described.
Authors:
John W Ogle; Gary N Dunckel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Aviation, space, and environmental medicine     Volume:  73     ISSN:  0095-6562     ISO Abbreviation:  Aviat Space Environ Med     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-07-24     Completed Date:  2003-01-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501714     Medline TA:  Aviat Space Environ Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  694-8     Citation Subset:  IM; S    
Affiliation:
Stanford University Division of Emergency Medicine, Palo Alto, CA 94303, USA. ogle@flightphysical.com
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MeSH Terms
Descriptor/Qualifier:
Air Ambulances
Antarctic Regions
Electric Countershock / methods*
Emergency Treatment / methods*,  statistics & numerical data,  trends
Heart Arrest / etiology*
Humans
Male
Medically Underserved Area
Middle Aged
Myocardial Infarction / complications,  diagnosis,  therapy*
Needs Assessment
New Zealand
Thrombolytic Therapy / methods*
Transportation of Patients / methods
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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