Please note the number of shocks…. That wasn’t in the whole existence of the aicd- it was just today. The patient finally stopped vf arresting and being shocked after 115 defibrillations. The patient actually wore the aicd out and we had to turn OFF the aicd to preserve the battery for the pacer portion. We attached the external defibrillator and hoped for the best.
I left with the pt 100% paced, no ectopy, vented on lido, amio, levo and heavily sedated. We also gave quinidine … so he is both protected from malaria (haha) and has every anti-arrythmic on board.












