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What Is Ventricular Fibrillation? Doctors Save BESCOM Worker From Death By Electrocution
A 26-year-old BESCOM lineman, while working Devarabeesanahalli in Bengaluru was accidentally electrocuted and was brought to the Sakra World Hospital Emergency by his colleagues and the police on the morning of 2 December 2022. There was no heartbeat when he arrived at the emergency department. His heart was affected by an abnormal rhythm called Ventricular Fibrillation, where the electrical activity of the heart becomes erratic and uncontrolled, and the heart muscle fails to contract with its usual synchrony effectively stopping the heart.
In victims of electrocution, this is could be one of the causes of instant death. When the heart stops the brain is starved of oxygen and there are only minutes left before it begins to undergo irreversible cell death. Survivors of cardiac arrests like this, often land in a vegetative state, especially if CPR was late and the brain was deprived of oxygen for too long.
Having received the victim in the resuscitation bay at SWH, our emergency team were able to revert this abnormal rhythm with multiple shocks and medications while they maintained his vital functions by artificial means. This ensured that the victim's brain received oxygenated blood while the normal function of the heart could be restored.
Dr Bevin D'Silva - Head & Senior Consultant, Department of Emergency Medicine, Sakra World Hospital, says "Ventricular fibrillation is seen in most of the cardiac arrest, this can be brought on by heart attacks or electrolyte imbalances most commonly, and in this case, it was caused by a sizeable electric shock. Most victims with ventricular fibrillation, unfortunately, arrive dead at the hospital.
What Is Ventricular Fibrillation?
Ventricular fibrillation (V-fib) is a dangerous type of arrhythmia or irregular heartbeat and it affects the heart's ventricles, says Hopkinsmedicine.org. It is a rapid, life-threatening heart rhythm starting in the bottom chambers of the heart. A human heart is a muscle system that contains 4 chambers; the 2 bottom chambers are the ventricles. In a healthy heart, your blood pumps evenly in and out of these chambers. This keeps blood flowing throughout your body.
An arrhythmia that starts in your ventricle is called ventricular fibrillation. This occurs when the electrical signals that tell your heart muscle to pump cause your ventricles to quiver (fibrillate) instead. The quivering means that your heart is not pumping blood out to your body. In some people, V-fib may happen several times a day. This is called an "electrical storm." And sustained V-fib can lead to cardiac arrest and death, it requires immediate medical attention.
The
treatment
of
Ventricular
fibrillation
ironically
is
another
controlled
"shock" that
helps
rectify
the
rhythm.
The
team
worked
for
around
90
minutes,
correcting
various
imbalances
in
the
pH
of
his
blood,
electrolytes
etc.
and
put
the
patient
on
advanced
life
support.
Subsequently,
a
tightly
controlled
temperature
drop
was
initiated
in
the
emergency
department
itself
to
further
improve
the
preservation
of
brain
function.
We
are
particularly
happy
to
inform
you
that
the
patient
is
now
off
the
ventilator
and
has
even
been
moved
out
of
the
ICU.
With
various
specialities
actively
supporting
his
recovery,
we
are
confident
he
will
make
it
back
home
in
no
time.
This case in particular highlights the importance of starting Cardiopulmonary resuscitation or CPR early. This is a skill that can be learnt and performed by anyone. It is a technique of rhythmically compressing the chest and artificially pumping blood containing precious oxygen to the victim's brain. A victim brought in with ongoing CPR by a bystander stands a good chance of surviving the event as the brain will be preserved till professional help can restore the underlying causes and restore normal cardiac function.
This
victim
is
fortunate
to
have
been
close
to
the
hospital,
prompt
action
on
the
spot
by
his
colleagues
and
the
police
preserved
his
life
and
brought
him
to
an
emergency
department
capable
of
conducting
an
advanced
resuscitation
and
ultimately
resulting
in
his
survival."
Sakra
World
Hospital
is
a
champion
to
the
cause
of
BYSTANDER
CPR
and
regularly
conducts
training
programs
and
public
education
drives
on
the
same.
It
is
encouraged
that
each
and
every
citizen
of
India
learns
how
to
perform
CPR
on
the
spot
and
preserve
the
lives
of
victims
of
sudden
cardiac
arrest
till
professional
help
is
available.
About Sakra World Hospital
Located at Outer Ring Road, Marathahalli, Bengaluru, Karnataka, Sakra World Hospital, a Japanese brand under the leadership of Toyota Tsusho and SECOM is India's first MNC hospital. It is a 350-bed hospital, providing healthcare across all specialities such as Neuro Sciences, Cardiac Sciences, Orthopaedics, Women and Child Health, Digestive and Hepatobiliary Sciences, Renal Sciences, Emergency and Trauma Care. There are 12 integrated modular operation theatres (OTs) with cutting-edge, state-of-the-art technologies like OR integration solution that features video input recording, saving and displaying from a range of sources like surgical camera, peripheral camera and MIS camera.
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