Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( KudenchukВ et al 2006).ДЄcute coronary syndrome (ACS) is responsible for the majority (60%) of all OHCAs in patients. Many of these OHCAs are due to ventricular fibrillation or pulseless VT. Half of these arrests are witnessed with the other half being un-witnessed. Cardiology has been consulted and asks for a neurology consultation given her mental status.Д«ackground: The American Heart Association estimates there are approximately 350,000 EMS-assessed out-of-hospital cardiac arrests (OHCAs) in the United States per year. Her point-of-care ultrasound (POCUS) shows appropriate-appearing global ejection fraction and no marked wall motion abnormalities. The EKG shows sinus tachycardia with nonspecific changes and no ST segment elevations, Q waves, or hyperacute T waves. She arrives in the emergency department (ED) with decreased level of consciousness and shock. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. She has a history of hypertension and non-insulin dependent diabetes mellitus. EMS arrives and finds the patient in monomorphic ventricular tachycardic (VT) cardiac arrest. He is interested and experienced in healthcare informatics, previously worked with ED-directed EMR design, and is involved in the New York City Health and Hospitals Healthcare Administration Scholars Program (HASP).Д¬ase : A 70-year-old woman is found unresponsive and apneic at home by her partner. Kaushal Khambhati is also a fourth-year resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. He heads curriculum and conference for the academic year and is passionate about resident education on- and off-shift, from procedural to evidence-analytical.Дr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation.

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