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
Hauptverfasser: Sumchai, Ahimsa, Sternbach, George, Eliastam, Michael, Liem, L.Bing
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container_issue 3
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container_title The American journal of emergency medicine
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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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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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