CASE STUDY 8-1 NH
A young woman, who is obviously in a late stage of pregnancy, is at your facility for a routine ultra-sound. You have been called to that area of the clinic where you find the woman gasping, blue and unresponsive. She suddenly stops breathing and becomes pulseless. You observe ventricular fibrillation on the ECG monitor. She is placed in a left lateral tilt position while quality CPR is administered. You immediately defibrillate her with a 120 joule biphasic shock. The VF persists. A second shock is administered immediately, and again there is still no response. Quality CPR is administered between shocks, and there is no response to the third shock. CPR is resumed and an antecubital IV is established. Her OB/GYN physician is in the building and arrives within several minutes and performs an emergency cesarean section. The infant responds to resuscitative interventions and is breathing spontaneously and perfusing well. After receiving 1.0 mg of IV epinephrine, the patient responds to the fourth shock by converting back to sinus rhythm with a pulse.