SUCCESSFUL USE OF EARLY THERAPEUTIC HYPOTHERMIA IN AN MDMA AND AMPHETAMINE INTOXICATION-INDUCED OUT-OF-HOSPITAL CARDIAC ARREST: A CASE REPORT
Küçük Resim Yok
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Science Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: Deaths caused by recreational drug abuse have increased considerably in recent years. Therapeutic hypothermia offers the potential to improve neurological outcomes in post-resuscitation patients. Case Report: A 19-year-old man was brought to our emergency department after suffering out-of-hospital ventricular fibrillation (VF) cardiac arrest. He was resuscitated at our emergency department again due to VF. Urine analysis showed high levels of amphetamine and 3,4 methylenedioxymethamphetamine ( MDMA) (ecstasy). The patient was intubated, sedated, and ventilated. Within 1 h after the return of spontaneous circulation and hemodynamic stabilization, therapeutic hypothermia was initiated for neurologic protection. An external-cooling device was used for cooling. He was maintained at 33 degrees C for 72 h. The patient was weaned from the ventilator and extubated on day 5. He was discharged from the hospital on the day 10 with good cerebral performance. Why Should an Emergency Physician Be Aware of This?: Initiation of early therapeutic hypothermia within 1 h after return of spontaneous circulation might contribute to better neurologic outcome in patients who suffer VF cardiac arrest. We suggest that early therapeutic hypothermia may be considered in patients who suffer out-of-hospital cardiac arrest due to MDMA and amphetamine intoxications. (C) 2020 Elsevier Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Amphetamine, Cardiac Arrest, Emergency Medicine, Intoxication, Mdma, Therapeutic Hypothermia
Kaynak
Journal Of Emergency Medicine
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
59
Sayı
3
