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{
    "pk": 9696,
    "title": "First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration",
    "subtitle": null,
    "abstract": "Ventricular fibrillation (VF) is a potentially fatal dysrhythmia associated with acute myocardial infarction. The longer a patient waits for definitive care, the greater their chance of mortality.  There is a subset of patients, however, who suffered a VF arrest, received appropriate care, and despite standard medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 J of biphasic current), remained in refractory VF (RVF), also known as electrical storm.  The mortality for these patients is as high as 97%. We present the case of a patient who, because of a novel approach, survived RVF to discharge and outpatient follow-up.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "resuscitation"
        },
        {
            "word": "ventricular fibrillations"
        },
        {
            "word": "Defibrillation"
        },
        {
            "word": "Dual-axis defibrillation"
        },
        {
            "word": "Beta-blockade"
        }
    ],
    "section": "Critical Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1469v72j",
    "frozenauthors": [
        {
            "first_name": "Kevin",
            "middle_name": "M",
            "last_name": "Boehm",
            "name_suffix": "",
            "institution": "1. St. Mary Mercy Hospital. Livonia, MI.  Departments of Graduate Medical Education and Emergency Medicine.\n2.  Michigan State University College of Osteopathic Medicine.  Department of Osteopathic Medical Specialties.",
            "department": "None"
        },
        {
            "first_name": "Daniel",
            "middle_name": "",
            "last_name": "Keyes",
            "name_suffix": "",
            "institution": "1. St. Mary Mercy Hospital. Livonia, MI.  Departments of Graduate Medical Education and Emergency Medicine.\n2.  Michigan State University College of Osteopathic Medicine.  Department of Osteopathic Medical Specialties.",
            "department": "None"
        },
        {
            "first_name": "Laura",
            "middle_name": "E",
            "last_name": "Mader",
            "name_suffix": "",
            "institution": "St. Mary Mercy Hospital. Livonia, MI.  Departments of Graduate Medical Education and Emergency Medicine.",
            "department": "None"
        },
        {
            "first_name": "Joan",
            "middle_name": "Michelle",
            "last_name": "Moccia",
            "name_suffix": "",
            "institution": "St. Mary Mercy Hospital. Livonia, MI.  Departments of Graduate Medical Education and Emergency Medicine.",
            "department": "None"
        }
    ],
    "date_submitted": "2016-03-14T18:12:31Z",
    "date_accepted": "2016-03-14T18:12:31Z",
    "date_published": "2016-10-20T21:36:29Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9696/galley/5376/download/"
        }
    ]
}