Hey folks, figured I would bring this out to the masses to both bring light to the topic but also ask for advise for the future.
Had a patient with a recently installed internal defib unit that was going berserk. I mean this thing was tasing this poor person. From 8 feet away you could hear the "snap" of the electronic stimulation.
Every time the patient moved it would do this. Took me a minute to figure out a position of comfort that didn't shock her, kept my crew safe, and were able to move the patient to the rig. Settled on the stair chair and it worked.
Once in the rig we took vitals and within a few minutes met ALS in route. Once they had the 12 lead on they said she was in continuous Afib. Vitals went from extremely high to bottoming out. Medics did there thing as far as patient comfort, blood work, ect. We transported w/o incident and transfered care.
What I want to know is there anything outside the prehospital setting we can do other then what was stated? The defib was only 4 days old if that helps. Is this just a load and go, liberal diesl bolous, monitor patient kind of thing or is there something that could be done to correct, at least temporarily, outside a hospital?