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dc.contributor.authorStevenson, Laura
dc.date.accessioned2019-09-12T11:53:43Z
dc.date.available2019-09-12T11:53:43Z
dc.date.issued2018-02
dc.identifier.citationStevenson, L., 2018. Defibrillation: standard vs. double sequential in adult out-of-hospital cardiac arrest. Journal of Paramedic Practice, 10 (2), 64-72.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2018.10.2.64
dc.identifier.urihttp://hdl.handle.net/20.500.12417/184
dc.description.abstractAbstract 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.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectDefibrillationen_US
dc.subjectOut-of-Hospital Cardiac Arrest (OHCA)en_US
dc.subjectDouble Sequential Defibrillationen_US
dc.subjectRefractory Ventricular Fibrillationen_US
dc.titleDefibrillation: standard vs. double sequential in adult out-of-hospital cardiac arresten_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
dcterms.dateAccepted2019-07-18
rioxxterms.versionNAen_US
rioxxterms.versionofrecord10.12968/jpar.2018.10.2.64en_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-07-18
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2018-02
html.description.abstractAbstract 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.en_US


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