title: The use of cough-CPR in patients with acute myocardial infarction.
abstract: A case of a patient with an acute anterior myocardial infarction (MI) and ventricular fibrillation is presented. The patient was resuscitated after cough-cardiopulmonary resuscitation (C-CPR) was administered in the emergency department. The patient received thrombolytic therapy without complication. Cough-CPR is a technique not in widespread use. With the advent of thrombolytic therapy for patients with acute myocardial infarctions, a relative contraindication to thrombolytic therapy is present in patients who receive "standard CPR." The use of cough-CPR in witnessed dysrhythmias can alleviate this problem. Cough-CPR can also reduce the morbidity of resuscitations.
authors.affiliation: Department of Emergency Medicine, University of California, San Diego 92103.
authors.forename: M J
authors.initials: MJ
authors.lastname: Rieser
mesh_terms: D000328:Adult; D003371:Cough; D004554:Electric Countershock; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*; D012151:Resuscitation / Q000379:methods*; D014693:Ventricular Fibrillation / Q000209:etiology / Q000628:therapy*
chemical_list: D008012:Lidocaine