Author/Editor		Kovač, Miha
Title		Uspešno kardiopulmonalno oživljanje na terenu pri bolniku z razširjenim akutnim miokardnim infarktom sprednje stene in fibrilacijo ventriklov (VF) - prikaz primera
Translated title		Successful field cardiopulmonal resuscitation of a patient with an expanded acute anterior wall myocardial infarction and ventricular fibrillation (VF) - case report
Type		članek
Source		In: Križančič M, editor. Nujna medicinska pomoč. Zbornik izbranih tem Delavnica Urgentne medicine; 2003; Ljubljana. Ljubljana: Društvo študentov medicine Slovenije,
Publication year		2003
Volume		str. 38-40
Language		slo
Abstract		On November 29, 1998 we intervened in an emergency situation in a bar with slot machines where a patient - a croupier suddenly lost his consciousness. On our arrival, we could not detect his pulse, he was not breathing, his eye pupils were wide and nonreactive and his skin was cyanotic. The monitor showed ventricular fibrillation. After three unsuccessful attempts of defibrillation, we had to intubate the patient and connect him to the ventilator, we started with chest compressions and placed the intravenous channel. Even before the heart established effective beating, the eye pupils narrowed an the patient slowly began to breath. After injecting 2 mg of adrenaline and 100 mg of xylocain and after sixth defibrillation, we managed to established sinus rhythm and were able to feel his pulse. The patient's blood pressure was 150/70 mm Hg. Diagnosed with an expanded acute anterior wall myocardial infarction, he was immediately transferred from internist emergency unit to the emergency coronarography unit, where doctors diagnosed a blockade of the LAD in the proximal segment, a blockade of the LCX after the MI turning and 50 - 60 % narrows of the RCA in the central section. The primary PTCA was performed and a stent inserted on the LAD. On the forth day after the incident, the patient was transferred from intensive coronary unit to the Trnovo hospital and left the hospital twenty days after the resuscitation. In March 1999, the patient had no neurological deficits. After the NYHA classification, he is placed into the second functional class. (Abstract truncated at 2000 characters)
Descriptors		MYOCARDIAL INFARCTION VENTRICULAR FIBRILLATION CARDIOPULMONARY RESUSCITATION EMERGENCY MEDICAL SERVICES