| The prohibition on shocking apparent asystole: a history and critique of the argument. | |
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MedLine Citation:
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PMID: 18534295 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A recommendation against shocking asystole has been part of the American Heart Association's Emergency Cardiovascular Care (ECC) Guidelines since 1992. The principal rationale offered then for the prohibition on shocking apparent asystole (PSAA) has since been refuted and has gradually been dropped, but the recommendation itself remains in the 2005 Guidelines. The PSAA now rests mainly on the lack of solid evidence of a survival benefit--a curious criterion given the lack of such evidence for most ECC treatment recommendations. "Occult" ventricular fibrillation and problems with distinguishing between fine ventricular fibrillation and asystole may lead to delays and omissions of potentially lifesaving shocks. No studies on the subject have been conducted since the PSAA first appeared. Removal of the PSAA from the ECC Guidelines is warranted to reopen research on this topic and support the goal of early defibrillation. |
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Authors:
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John A Stewart |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 26 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-06 Completed Date: 2008-07-01 Revised Date: 2009-01-08 |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 618-22 Citation Subset: IM |
Affiliation:
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Virginia Mason Medical Center, Seattle, WA 98101, USA. john.stewart@vmmc.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiology
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standards* Death, Sudden, Cardiac / prevention & control Defibrillators Electric Countershock* / contraindications Heart Arrest / therapy* Humans Practice Guidelines as Topic* Ventricular Fibrillation / therapy |
| Comments/Corrections | |
Comment In:
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Am J Emerg Med. 2008 Nov;26(9):1057
[PMID:
19091271
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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