Abstract:
:This is a report of an 11-year-old boy who had sudden cardiac death after a lightning strike while playing lacrosse at summer camp. The camp staff had performed weekly drills to prepare for various medical emergencies and quickly activated their "Emergency Activation System". The child received immediate cardiopulmonary resuscitation (CPR) and was defibrillated with an automated defibrillator (AED) within 3 min of becoming pulseless and was ultimately resuscitated after being defibrillated three times. A community ambulance with a defibrillator on board did not arrive until several minutes after the on-site team had achieved return of spontaneous circulation. In this report, we describe the clinical course of this patient; briefly review lightning injuries, other causes of sudden cardiac death in children and use of AEDs. Finally, we review how simulation has been used in this case and others as a mechanism to ensure preparedness for medical emergencies. This child is alive and well today because of these well-trained camp counselors. Their system of using simulation to maintain emergency readiness serves as an example for lay and professional medical providers alike.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Nelson KL,Mills W Jr,Umbel S,Crosson JE,Shaffner DH,Hunt EAdoi
10.1016/j.resuscitation.2007.02.005subject
Has Abstractpub_date
2007-09-01 00:00:00pages
567-71issue
3eissn
0300-9572issn
1873-1570pii
S0300-9572(07)00089-5journal_volume
74pub_type
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