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Archives of Disease in Childhood 2009;94:153-155; doi:10.1136/adc.2008.139550
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

CASE REPORT

Out-of-hospital ventricular fibrillation in three adolescents

A Khoury1, I Shavit2

1 Department of Pediatric Cardiology and Congenital Heart Disease in Adults, Meyer Children’s Hospital, Rambam Health Care Campus, Haifa, Israel
2 Emergency Department, Meyer Children’s Hospital, Rambam Health Care Campus, Haifa, Israel

Correspondence to:
Dr Itai Shavit, Emergency Department, Meyer Children’s Hospital, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel; i_shavit{at}rambam.health.gov.il

We describe three adolescents who experienced sudden cardiac arrest due to ventricular fibrillation in an out-of-hospital setting and survived with good neurological outcome despite delayed time to defibrillation. All three were treated with prolonged cardiopulmonary resuscitation (CPR) by certified basic life support providers prior to first defibrillation. This report stresses the importance of early, minimally interrupted, chest compression CPR in children who suffer sudden cardiac arrest in the out-of-hospital setting where defibrillation could be delayed.


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