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    Defibrillation: standard vs. double sequential in adult out-of-hospital cardiac arrest

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    Author
    Stevenson, Laura
    Keyword
    Emergency Medical Services
    Defibrillation
    Out-of-Hospital Cardiac Arrest (OHCA)
    Double Sequential Defibrillation
    Refractory Ventricular Fibrillation
    Journal title
    Journal of Paramedic Practice
    
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    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/184
    DOI
    10.12968/jpar.2018.10.2.64
    Abstract
    Abstract published with permission. Background: Refractory ventricular fibrillation (RVF) in out-of-hospital cardiac arrest (OHCA) poses a significant challenge to paramedic teams and is further confounded by an absence of specific guidance on the management of this patient category. Objective: To conduct a systematic literature review to determine whether double sequential defibrillation (DSD) improves patient outcomes in adult OHCA. Methods: Electronic searches of CINAHL, MEDLINE and AMED databases were carried out, using EBSCOhost (2017) and a subsequent filtering process. Results: Three case series and two cohort studies provided the highest category of evidence to evaluate. DSD is offered as a potentially feasible RVF treatment strategy throughout. However, results are consistently limited by varying protocol and small study groups and DSD success is likely multifactorial. Conclusion: The current systematic literature review indicated that no confirmed association existed between DSD and improved OHCA outcomes. More robust research is required to eliminate profound limitations and consider contributing factors to DSD.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2018.10.2.64
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    Publications - South East Coast Ambulance Service

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