The use of cough-CPR in patients with acute myocardial infarction.
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.
Rieser
M J
MJ
Department of Emergency Medicine, University of California, San Diego 92103.
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*
D008012:Lidocaine