HYPOTHERMIA

Case Presentation

A 23-year-old boy with no prior history of illness suffered CPA (cardiopulmonary arrest) while playing soccer at the university. His previous electrocardiogram at age 12 showed no abnormality. He had no prodromal symptoms before the event. His coach immediately initiated cardiopulmonary resuscitation (CPR). Emergency medical services (EMS) arrived at the scene 10 min after the boy collapsed and confirmed cardiac arrest. EMS personnel continued CPR with bag–mask ventilation and chest compression. The patient was defibrillated twice with an automated external defibrillator (AED) by the EMS personnel en route to the hospital. Ventricular fibrillation was the initial recorded rhythm in the patient. Sinus tachycardia with sustained circulation was achieved after second rescue shock. A review of the patient's pre-hospital records showed that he returned to spontaneous circulation 23 min after the collapse.



© 2015 University of Washington | School of Nursing | Work is developed and designed for web by TIER Learning Technologies.Young athlete with sudden cardiac arrest treated with therapeutic hypothermia by Katsuaki Kojim et al Pediatrics International (2013) 55, e123- e123. Myocardial bands - myocardial muscle fibers lose cross striations.