Pacing hazards in helicopter aeromedical transport
A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricular tachycardia had a cardiac arrest during helicopter transport to a specialized cardiac care unit. Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pac...
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Veröffentlicht in: | The American journal of emergency medicine 1988-05, Vol.6 (3), p.236-240 |
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creator | Sumchai, Ahimsa Sternbach, George Eliastam, Michael Liem, L.Bing |
description | A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricular tachycardia had a cardiac arrest during helicopter transport to a specialized cardiac care unit. Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of “burst suppression” and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter. |
doi_str_mv | 10.1016/0735-6757(88)90007-1 |
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Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of “burst suppression” and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/0735-6757(88)90007-1</identifier><identifier>PMID: 3370099</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Aircraft ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cardiac Pacing, Artificial - methods ; Electrocardiography ; Electromagnetic interference ; Emergency and intensive care: techniques, logistics ; Heart Arrest - physiopathology ; Heart Block - physiopathology ; Heart Block - therapy ; Heart Ventricles - physiopathology ; helicopter transport ; Humans ; Intensive care medicine ; Intensive care unit. Emergency transport systems. 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Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of “burst suppression” and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter.</description><subject>Aircraft</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiac Pacing, Artificial - methods</subject><subject>Electrocardiography</subject><subject>Electromagnetic interference</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Heart Arrest - physiopathology</subject><subject>Heart Block - physiopathology</subject><subject>Heart Block - therapy</subject><subject>Heart Ventricles - physiopathology</subject><subject>helicopter transport</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>pacing</subject><subject>Tachycardia, Paroxysmal - physiopathology</subject><subject>Tachycardia, Paroxysmal - therapy</subject><subject>Transportation of Patients</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMoWj_-gcIeRPSwmtkkm-QiiPgFBT3oOYzprEa2uzXZCvrrTW3p0dMc3meGdx7GDoGfA4f6gmuhylorfWrMmeWc6xI22AiUqEoDGjbZaI3ssN2UPjgHkEpus20hNOfWjlj1hD50b8U7_mCcpCJ0xTu1wfezgWKBFPspTYLHthgidmnWx2GfbTXYJjpYzT32cnvzfH1fjh_vHq6vxqUXph5KUiBBNt7SK1iBGhqlwFhLCgHQGLSNFhJ9xasmlwL0UlXkJUoPArgQe-xkeXcW-885pcFNQ_LUtthRP09Om0pUlssMyiXoY59SpMbNYphi_HbA3UKVW3hwCw_OGPenykFeO1rdn7_mJ9dLKzc5P17lmLKAJv_vQ1pjuja1MDxjl0uMsouvQNElH6jzWVskP7hJH_7v8QvdxYNH</recordid><startdate>19880501</startdate><enddate>19880501</enddate><creator>Sumchai, Ahimsa</creator><creator>Sternbach, George</creator><creator>Eliastam, Michael</creator><creator>Liem, L.Bing</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19880501</creationdate><title>Pacing hazards in helicopter aeromedical transport</title><author>Sumchai, Ahimsa ; Sternbach, George ; Eliastam, Michael ; Liem, L.Bing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-e51414fc9eb193a71f551899e5a11a88a9f734ac202f4541ac452ec4a4c131033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Aircraft</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiac Pacing, Artificial - methods</topic><topic>Electrocardiography</topic><topic>Electromagnetic interference</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Heart Arrest - physiopathology</topic><topic>Heart Block - physiopathology</topic><topic>Heart Block - therapy</topic><topic>Heart Ventricles - physiopathology</topic><topic>helicopter transport</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>pacing</topic><topic>Tachycardia, Paroxysmal - physiopathology</topic><topic>Tachycardia, Paroxysmal - therapy</topic><topic>Transportation of Patients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sumchai, Ahimsa</creatorcontrib><creatorcontrib>Sternbach, George</creatorcontrib><creatorcontrib>Eliastam, Michael</creatorcontrib><creatorcontrib>Liem, L.Bing</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sumchai, Ahimsa</au><au>Sternbach, George</au><au>Eliastam, Michael</au><au>Liem, L.Bing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pacing hazards in helicopter aeromedical transport</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>1988-05-01</date><risdate>1988</risdate><volume>6</volume><issue>3</issue><spage>236</spage><epage>240</epage><pages>236-240</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>A 62-year-old man with third-degree atrioventricular block and hemodynamically unstable ventricular tachycardia had a cardiac arrest during helicopter transport to a specialized cardiac care unit. Before transport, his ventricular tachycardia had been successfully terminated by a rapid overdrive pacing technique. The failure of “burst suppression” and the absence of pacer spike artifact on the electrocardiographic monitor raise questions about the potential hazards of using various pacing techniques during helicopter transports. Most significantly, this case points to the possibility of interference by exogenous electromagnetic signals in the medical compartment of the helicopter.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>3370099</pmid><doi>10.1016/0735-6757(88)90007-1</doi><tpages>5</tpages></addata></record> |
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subjects | Aircraft Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Pacing, Artificial - methods Electrocardiography Electromagnetic interference Emergency and intensive care: techniques, logistics Heart Arrest - physiopathology Heart Block - physiopathology Heart Block - therapy Heart Ventricles - physiopathology helicopter transport Humans Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Male Medical sciences Middle Aged pacing Tachycardia, Paroxysmal - physiopathology Tachycardia, Paroxysmal - therapy Transportation of Patients |
title | Pacing hazards in helicopter aeromedical transport |
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