PMC9764166_01
ECG obtained at 25 mm/second, 10 mm/mV. ECG at (A) the first ventricular fibrillation, (B) first ROSC, and (C) 5 h after the first ROSC.. ECG, electrocardiogram; ROSC, return of spontaneous circulation.
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During 4 L of gastric lavage, she vomited three to four times and suddenly developed generalized clonic movements for several seconds and V. fib 25 min after arrival (80 min after ingestion) (Fig. 1). Chest compressions, intubation, and 200-J defibrillation twice resulted in a return of spontaneous circulation (ROSC) after 6 min of advanced cardiovascular life support (Fig. 1).
The patient's clinical course and treatment. The patient needed defibrillation due to ventricular fibrillation several times between 80 min and 4 h after caffeine ingestion. V Fib, ventricular fibrillation; ACLS, advanced cardiovascular life support; AKI, acute kidney injury.
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Fig. 2 describes the clinical course and treatment with time.