CASE STUDY 8-1 PH
You are dispatched to an office building where a young woman, who is obviously in a late stage of pregnancy, is confused, cyanotic and barely responsive. She suddenly begins gasping, turns blue and unresponsive, and then 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 no response. Quality CPR is administered between shocks, and there is no response to the third shock. You load her and begin rapid transport to the hospital. CPR is resumed and an antecubital IV is established. The surgical team arrives and performs an emergency cesarean section. The child 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.