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An Elderly Woman That Presents With Absent Vital SignsAn Elderly Woman With Absent Vital Signs

Robert T. Arntfield, MD, FCCP; Scott J. Millington, MD; Edwin Wu, MD
Author and Funding Information

From the Division of Critical Care (Drs Arntfield and Wu), Western University, London; and Division of Critical Care (Dr Millington), University of Ottawa, Ottawa, ON, Canada.

CORRESPONDENCE TO: Robert T. Arntfield, MD, FCCP, Western University, Division of Critical Care, 800 Commissioners Rd E, Room D2-521A, London, ON, N6A5W9, Canada; e-mail: robert.arntfield@gmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(5):e156-e159. doi:10.1378/chest.13-3029
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Extract

1.SayreMRKosterRWBothaM; Adult Basic Life Support Chapter Collaborators. Part 5: adult basic life support: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation. 2010;122(16)(suppl 2):S298-S324.2.TayalVSKlineJA. Emergency echocardiography to detect pericardial effusion in patients in PEA and near-PEA states. Resuscitation. 2003;59(3):315-318.3.SalenPMelnikerLChooljianC. Does the presence or absence of sonographically identified cardiac activity predict resuscitation outcomes of cardiac arrest patients?Am J Emerg Med. 2005;23(4):459-462.4.SalenPO’ConnorRSierzenskiP. Can cardiac sonography and capnography be used independently and in combination to predict resuscitation outcomes?Acad Emerg Med. 2001;8(6):610-615.5.BlaivasMFoxJC. Outcome in cardiac arrest patients found to have cardiac standstill on the bedside emergency department echocardiogram. Acad Emerg Med. 2001;8(6):616-621.6.CharronCPratGCailleV. Validation of a skills assessment scoring system for transesophageal echocardiographic monitoring of hemodynamics. Intensive Care Med. 2007;33(10):1712-1718.7.PellACGulyUMSutherlandGRSteedmanDJBloomfieldPRobertsonC. Mechanism of closed chest cardiopulmonary resuscitation investigated by transoesophageal echocardiography. J Accid Emerg Med. 1994;11(3):139-143.8.LinTChenYLuCWangM. Use of transesophageal echocardiography during cardiac arrest in patients undergoing elective non-cardiac surgery. Br J Anaesth. 2006;96(2):167-170.9.van der WouwPAKosterRWDelemarreBJde VosRLampe-SchoenmaeckersAJLieKI. Diagnostic accuracy of transesophageal echocardiography during cardiopulmonary resuscitation. J Am Coll Cardiol. 1997;30(3):780-783.10.MayoPHBeaulieuYDoelkenP. American College of Chest Physicians/La Société de Réanimation de Langue Française statement on competence in critical care ultrasonography. Chest. 2009;135(4):1050-1060.

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Figures

Tables

Video 1

TTE During CPR

Video 2

Transesophageal echocardiography

Video 3

Internal Jugular over carotoid

Video 4

TEE compressions with guidewire

Video 5

TEE pacer in inconsistent capture

Video 6

TEE pacer in with capture

Video 7

TEE pacer in with capture

Discussion Video

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