List Archives

Fri, 22 Feb 2002 13:38:00 -0800

Greg, (and all the others)

Lurker mode off......

I read your query and all of the replies with
interest.  This is a phenomenon, which
occasionally happens.  Richard Hardman, Ph.D. at
the Clark County Fire Department (Las Vegas,
Nevada) has done a bit of work in this arena, and
I would suggest that you might want to contact him
if you desire more info.  Las Vegas, as most folk
are aware, is a unique environment.  Cameras
everywhere, 24/7.  Since they instituted the AED
programs in the casino industry, they have caught
a fairly large number of cardiac arrests, live on
tape.  Some of these are very interesting in that
the patient appears to have a seizure then stops. 
When found by the arriving security officers the
patients were in cardiac arrest and have had
shockable rhythms.  I have seen some of his tapes
and they are extremely informative.  On one, I
recall that the patient had the appearance of
seizure activity post-resuscitation.  On another
the patient became extremely belligerent
post-resuscitation - he calmed down after a very
short while and a little oxygen.  All of this
activity was thought to be related to hypoxic
brains.

I believe you can reach Dr. Hardman at:
702-455-7311 if you want more info.

Thanks for bringing up an interesting question,
even though it's not trauma.

------
Sue Roundy, M.Ed., EMT-P
EMS Instructor/Coordinator, Carson City, NV
Office 775-445-4413
email:  roundy@wncc.nevada.edu
President, Nevada Emergency Medical Association
Captain and President, Dayton Volunteer Fire
Department, Dayton, Nevada

"Don't squat with your spurs on."
Will Rogers

-------- Original Message --------
Subject: v-fib seizure
Date: Thu, 21 Feb 2002 14:35:01 EST
From: CrnbryEMT@aol.com
Reply-To: trauma-list@trauma.org
To: <trauma-list@trauma.org>

Many apologies for tossing this to a tramua list
...

Does anyone have information on such a thing as a
"v-fib seizure"? In my short experience I have
been called to at least one patient that had
seizure activity followed by cardiac arrest
(initial rhythm: v-fib) with no seizure history.
I've been told by many that the person must have
had a "v-fib seizure".

Is this a seizure that precipitates v-fib? V-vib
that initially causes some sort of hypoxic
seizure? As a Paramedic my treatment is ultimately
the same: CPR and ACLS appropriate to the
presenting rhythm ... I just go up a tree when I
don't know "why".

Thanks.

-Greg Clopp, MICP

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