case_images: PMC11789887_01
case_images: When the patient experienced sudden cardiac arrest, his friends started chest compressions.
case_images: medi-104-e41298-g001.jpg
case_images: PMC11789887_01_medi-104-e41298-g001.jpg
case_images: F1
case_images: The patient experienced a sudden loss of consciousness, urinary incontinence, and dilated pupils after exercising at 07:20 that same day. His friends immediately began chest compressions (Fig. 1). The patient's ECG was still a flat line when the ambulance arrived and emergency doctors continued compressions using the LUCAS device without interruption upon arrival and during transportation (Fig. 2A and 2B).
case_images: (A) Mechanical chest compression during transportation. (B) Mechanical chest compression during transportation.
case_images: medi-104-e41298-g002.jpg
case_images: PMC11789887_01_medi-104-e41298-g002.jpg
case_images: F2
case_images: The patient experienced a sudden loss of consciousness, urinary incontinence, and dilated pupils after exercising at 07:20 that same day. His friends immediately began chest compressions (Fig. 1). The patient's ECG was still a flat line when the ambulance arrived and emergency doctors continued compressions using the LUCAS device without interruption upon arrival and during transportation (Fig. 2A and 2B).
case_images: Extracorporeal cardiopulmonary resuscitation in the emergency department.
case_images: medi-104-e41298-g003.jpg
case_images: PMC11789887_01_medi-104-e41298-g003.jpg
case_images: F3
case_images: Consequently, venoarterial extracorporeal membrane oxygenation (ECMO) (Fig. 3) was initiated.
case_images: The ECG during the extracorporeal cardiopulmonary resuscitation process indicates ventricular fibrillation.
case_images: medi-104-e41298-g004.jpg
case_images: PMC11789887_01_medi-104-e41298-g004.jpg
case_images: F4
case_images: Owing to the ventricular fibrillation rhythm of the patient (Fig. 4), multiple 200-J biphasic defibrillation shocks were administered.
case_images: The ECG after extracorporeal cardiopulmonary resuscitation had converted to sinus rhythm.
case_images: medi-104-e41298-g005.jpg
case_images: PMC11789887_01_medi-104-e41298-g005.jpg
case_images: F5
case_images: Electrocardiography revealed sinus rhythm, elevated ST segments (aVR), significant ST-T changes, and prolonged Q-T intervals (Fig. 5), and the troponin I was 50 ng/mL.